Organization Active NPI

Wellness Group, P.C.

  • Emergency Care Clinic/Center
  • Valparaiso, IN
National Provider Identifier
1013262351
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
02003905B Issued in IN
Legal business name
WELLNESS GROUP, P.C.
Practice address
802 Laporte Ave
Porter Hospital Wound Care Center
Valparaiso, IN 46383-5860
Phone
(219) 263-4600
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jane Bradlaw, D.O.
Title
Chairman
Phone
(219) 707-5775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 02003905B IN Primary

Addresses

Primary practice location

802 Laporte Ave
Porter Hospital Wound Care Center
Valparaiso, IN 46383-5860

Mailing address

PO Box 1296
Valparaiso, IN 46384-1296
Phone (219) 707-5775

Other names 1

  • The Wellness Group, P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

4403 N Calumet Ave
Valparaiso, IN 46383
Phone (219) 210-1412

802 Laporte Ave
Ste 103
Valparaiso, IN 46383
Phone (219) 477-5242

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1013262351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1296",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463841296",
            "telephone_number": "219-707-5775",
            "fax_number": "219-707-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 LAPORTE AVE",
            "address_2": "PORTER HOSPITAL WOUND CARE CENTER",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835860",
            "telephone_number": "219-263-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "BRADLAW",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "219-707-5775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "IN",
            "license": "02003905B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Group, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.