Innovative Wellness Solutions LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD044592E Issued in PA

Legal business name

INNOVATIVE WELLNESS SOLUTIONS LLC

Practice address

1902 River Road
Apollo, PA 15673

Phone

(724) 478-5361

Fax

(724) 479-2930

NPI assigned

Feb 14, 2014

Last updated

Feb 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra A Leonard

Title

Credentialing Manager

Phone

(412) 279-4522

Specialties & licenses 1

Addresses

Tax ID family

Innovative Wellness Solutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Innovative Wellness Solutions LLC

  • Surgery Physician
  • Indiana, PA
  • NPI 1255755104
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geoffrey Guarino, D.C.

  • Chiropractor
  • Wexford, PA
  • NPI 1700244183
  NPD

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1053735803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 RIVER ROAD",
            "city": "N APOLLO",
            "state": "PA",
            "postal_code": "15673",
            "telephone_number": "724-478-5361",
            "fax_number": "724-479-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 RIVER ROAD",
            "city": "APOLLO",
            "state": "PA",
            "postal_code": "15673",
            "telephone_number": "724-478-5361",
            "fax_number": "724-479-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE WELLNESS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "412-279-4522"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD044592E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cori Fraser
• Kathleen Fritz
• Garda RX LLC
• Elizabeth Hainan, CRNP
• Kimberly C Ingram-Morlacci, D.C.
• Ashley Johnson, PT
• Kiski Valley Community Medicine
• Kiski Valley Community Medicine, PC
• Ryan Klingensmith, NCC, LPC
• Daniel J Kupas, D.O.

• Surgery Physician in Apollo, PA
• Providers in Apollo, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.