Active NPI
Physicians Holistic Health Alliance, LLC
- Specialist
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01054192A
- Legal business name
- PHYSICIANS HOLISTIC HEALTH ALLIANCE, LLC
- Practice address
- 53760 Generations Dr
South Bend, IN 46635-1539 - Phone
- (574) 273-3880
- Fax
- (574) 271-0918
- NPI assigned
- Feb 25, 2013
- Last updated
- Feb 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Uthman Cavallo, MD
- Title
- President/Owner
- Phone
- (574) 273-3880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 01054192A | IN | Primary |
Addresses
Primary practice location
53760 Generations Dr
South Bend, IN 46635-1539
Mailing address
53760 Generations Dr
South Bend, IN 46635-1539
Phone (574) 273-3880
National Provider Directory
National Provider Directory- Tax ID family
- Physicians Holistic Health Alliance LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Mishawaka, IN
- NPI 1508155664
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Elkhart, IN
- NPI 1528013372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361750400000",
"number": "1205176575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53760 GENERATIONS DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351539",
"telephone_number": "574-273-3880",
"fax_number": "574-271-0918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53760 GENERATIONS DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351539",
"telephone_number": "574-273-3880",
"fax_number": "574-271-0918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS HOLISTIC HEALTH ALLIANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-25",
"last_updated": "2013-02-25",
"status": "A",
"authorized_official_last_name": "CAVALLO",
"authorized_official_first_name": "UTHMAN",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "574-273-3880",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01054192A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
- Joann Lynn Phillips, M.S.W., L.S.W.
- Katelind Scarlett Phillips, CRNA
- Stacey Phipps
- Physical Medicine & Rehabilitation Specialists PC
- Physician Management Services of Indiana II, LLC
- Ludmila Pichugena-Emerson, NP-C
- Abigail Piechnik
- Doreen Cynthia Pienkowski, RDH
- Jennifer Pilcher, OTR
- Pillars Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.