Total Health & Wellness OBGYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35071571 Issued in OH

Legal business name

TOTAL HEALTH & WELLNESS OBGYN LLC

Practice address

4000 Miamisburg Centerville Rd
Suite 104
Miamisburg, OH 45342-7615

Phone

(937) 384-8780

Fax

(937) 384-4876

NPI assigned

Aug 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Rosalind Joy Jackson, M.D.

Title

Owner

Phone

(937) 384-8780

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Rosalind J Mascall, M.D.

  • Obstetrics & Gynecology Physician
  • Miamisburg, OH
  • NPI 1134125123
  Medicare reassignment Care Compare group NPD
• Emily Anne Xin Tripp, APRN

  • Women's Health Nurse Practitioner
  • Miamisburg, OH
  • NPI 1881404275
  Medicare reassignment Care Compare group NPD
• Ian-VI Naga Mapp, WHNP

  • Women's Health Nurse Practitioner
  • Columbus, OH
  • NPI 1255633137
  Medicare reassignment NPD
• Carrie Lorene Van Zant, NP

  • Women's Health Nurse Practitioner
  • Miamisburg, OH
  • NPI 1609864255
  Medicare reassignment

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1164855672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MIAMISBURG CENTERVILLE RD",
            "address_2": "SUITE 104",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453427615",
            "telephone_number": "937-384-8780",
            "fax_number": "937-384-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MIAMISBURG CENTERVILLE RD",
            "address_2": "SUITE 104",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453427615",
            "telephone_number": "937-384-8780",
            "fax_number": "937-384-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH & WELLNESS OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROSALIND",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-384-8780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35071571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2238322",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Marie Tishaus, RN, BSN
• Tristan Toca, MD
• Deborah Marie Tombragel
• Miriam Torrontegui Santin
• Total Choice Healthcare, LLC
• Nicole Marie Trefz, RN
• Allison Marie Trelka, D.P.T.
• Paige Trentman, NNP
• Trilogy Healthcare of Miamisburg, LLC
• Jasmine Trimbach

• Obstetrics & Gynecology Physician in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.