Elysian Wellness PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELYSIAN WELLNESS PLLC

Practice address

1690 Highway 192 W
London, KY 40741-1673

Phone

(606) 877-5277

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gregg K Arena, MD

Title

President

Phone

(606) 877-5277

Specialties & licenses 2

Addresses

Practitioners 1

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

• Rhonda Joyce Leach, DNP, WHNP-BC

  • Gynecology Physician
  • Mount Pleasant, SC
  • NPI 1770734402

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1205087327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 HIGHWAY 192 W",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411673",
            "telephone_number": "606-877-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 HIGHWAY 192 W",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411673",
            "telephone_number": "606-877-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "ARENA",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-877-5277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Jean Eldridge, OD
• Elite Medical Supply LLC
• Amy Ellison
• Christopher Bruce Ellison, LCSW
• Kristi Elrod, LCADC
• Karla K Elza
• Embrase, LLC (Embrase Med Spa)
• Emmanuel Yumang, MD, PLLC
• Tonya Renee Estep, PT
• Zachary Dean Estep, PT DPT

• Clinic/Center in London, KY
• Providers in London, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.