NPIMap

Organization Active NPI

Healthwise Wellness LLC

  • Obstetrics & Gynecology Physician
  • Pine Bluff, AR
National Provider Identifier
1184296162
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HEALTHWISE WELLNESS LLC
Practice address
4014 Old Warren Rd
Pine Bluff, AR 71603-6110
Phone
(870) 454-4354
Fax
(870) 390-4781
NPI assigned
Jul 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Dr. Tochi Amagwula, MDNPI 1578822581
Title
Owner
Phone
(870) 454-4354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

4014 Old Warren Rd
Pine Bluff, AR 71603-6110

Mailing address

4014 Old Warren Rd
Pine Bluff, AR 71603-6110
Phone (870) 454-4354

National Provider Directory

National Provider Directory

Locations

4014 Old Warren Rd
Pine Bluff, AR 71603
Phone (870) 454-4354

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1184296162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 OLD WARREN RD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036110",
            "telephone_number": "870-454-4354",
            "fax_number": "870-390-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 OLD WARREN RD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036110",
            "telephone_number": "870-454-4354",
            "fax_number": "870-390-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "AMAGWULA",
        "authorized_official_first_name": "TOCHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-454-4354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.