NPIMap

Organization Active NPI

J & M Wellness, LLC

Doing business as Medi-Weightloss

  • Family Medicine Physician
  • Noblesville, IN
National Provider Identifier
1053974519
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
J & M WELLNESS, LLC
Doing business as
Medi-Weightloss
Practice address
14350 Mundy Dr Ste 500
Noblesville, IN 46060-0003
Phone
(317) 750-8573
NPI assigned
Apr 19, 2019
Last updated
Apr 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Mr. John Michael Baranowski
Title
Owner
Phone
(317) 750-8573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

14350 Mundy Dr Ste 500
Noblesville, IN 46060-0003

Mailing address

5108 Puffin PL
Carmel, IN 46033-9639
Phone (317) 750-8573

Other names 1

  • Medi-Weightloss Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2164578J & M Wellness, LLC14350 Mundy Drive, Suite 500, Noblesville, IN 46060Certificate of waiverApr 8, 2027

National Provider Directory

National Provider Directory

Locations

14350 Mundy Dr
Ste 500
Noblesville, IN 46060
Phone (317) 750-8573

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1053974519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 PUFFIN PL",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339639",
            "telephone_number": "317-750-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 MUNDY DR STE 500",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460600003",
            "telephone_number": "317-750-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & M WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "BARANOWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-750-8573",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Weightloss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.