Organization Active NPI

Usvi Medical Day Spa, LLC

  • Primary Care Clinic/Center
  • St Thomas, VI
National Provider Identifier
1063787844
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
USVI MEDICAL DAY SPA, LLC
Practice address
4001 Raphune Hill Rd
Suite 108
St Thomas, VI 00802-2905
Phone
(340) 774-2331
Fax
(340) 774-2353
NPI assigned
Mar 13, 2012
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Ryan D Wallace
Title
Member
Phone
(316) 258-3817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

4001 Raphune Hill Rd
Suite 108
St Thomas, VI 00802-2905

Mailing address

4001 Raphune Hill Rd
Suite 108
St Thomas, VI 00802-2905
Phone (340) 774-2331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1063787844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 RAPHUNE HILL RD",
            "address_2": "SUITE 108",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022905",
            "telephone_number": "340-774-2331",
            "fax_number": "340-774-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 RAPHUNE HILL RD",
            "address_2": "SUITE 108",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022905",
            "telephone_number": "340-774-2331",
            "fax_number": "340-774-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USVI MEDICAL DAY SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "316-258-3817"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.