Sante'Wave Wellness and Aesthetics

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

SANTE'WAVE WELLNESS AND AESTHETICS

Practice address

900 Pine St Ste 111B
Englewood, FL 34223-4457

Phone

(941) 468-3745

Fax

(941) 477-4375

NPI assigned

Aug 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Pamela K McCloskey, DONPI 1912318114

Title

Medical Director/Owner

Phone

(815) 519-7226

Specialties & licenses 1

Addresses

Practitioners 2

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

• Pamela Kay McCloskey, D.O.

  • Surgery Physician
  • Englewood, FL
  • NPI 1912318114
  NPD Authorized official
• Brandon Taylor, CRNA

  • Certified Registered Nurse Anesthetist
  • Clarion, IA
  • NPI 1396136107
  NPD (past)

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

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722643200000",
    "number": "1114757309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11734 GOOMBAY CT",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922561",
            "telephone_number": "941-468-3745",
            "fax_number": "941-477-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PINE ST STE 111B",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234457",
            "telephone_number": "941-468-3745",
            "fax_number": "941-477-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTE'WAVE WELLNESS AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-03",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A",
        "authorized_official_last_name": "MCCLOSKEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "815-519-7226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Mark Ross, MD,PHD
• Candace Lorraine Rudzinski, LMSW
• Erick Rumold
• Kathleen Russo, ARNP
• Norma Iris Sanchez, P.T.
• David Schenck, MD
• Diana Lilliann Schmitt
• Ashley Nicole Schmittendorf, RBT
• Angela H Schupp, MD
• Schwartz Physical Therapy LLC

• Health & Wellness Coach in Englewood, FL
• Providers in Englewood, FL by specialty
• Health & Wellness Coach in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.