NPIMap

Organization Active NPI

Wholistic Medical Group

  • Acupuncturist
  • Tampa, FL
National Provider Identifier
1023560109
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3763 Issued in FL
Legal business name
WHOLISTIC MEDICAL GROUP
Practice address
3965 Henderson Blvd
Tampa, FL 33629-5023
Phone
(813) 444-3946
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Dr. Ryan Duke Mansell, DOMNPI 1366997843
Title
Owner
Phone
(860) 933-2155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP3763 FL Primary

Addresses

Primary practice location

3965 Henderson Blvd
Tampa, FL 33629-5023

Mailing address

1016 E Columbus Dr
Tampa, FL 33605-3333
Phone (860) 933-2155

National Provider Directory

National Provider Directory

Locations

3965 Henderson Blvd
Tampa, FL 33629
Phone (813) 444-3946

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1023560109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E COLUMBUS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336053333",
            "telephone_number": "860-933-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295023",
            "telephone_number": "813-444-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "MANSELL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-933-2155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.