Joel Wellness Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOEL WELLNESS CLINIC PLLC

Practice address

15144 Levan Rd Ste 44
Livonia, MI 48154-5027

Phone

(734) 356-3303

Fax

(734) 356-3233

NPI assigned

Jun 10, 2021

Organization subpart

No

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

Authorized official

Name

Binju Joel, MDNPI 1699817833

Title

Provider

Phone

(734) 883-0356

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24208/brand/1/csg/1/fhir/r4

Practitioners 7

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

• Binju Joel, MD

  • Internal Medicine Physician
  • Ann Arbor, MI
  • NPI 1699817833
  Medicare reassignment NPD Authorized official
• Anne Elizabeth Kenney, NURSE PRACTITIONER

  • Nurse Practitioner
  • Howell, MI
  • NPI 1184722852
  Medicare reassignment NPD
• Anthony John Kilbane, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Livonia, MI
  • NPI 1730292020
  NPD
• Bassem Jamil Basha, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Livonia, MI
  • NPI 1073565214
  NPD (past)
• Terry David Howell, M.D.09/

  • Internal Medicine Physician
  • Saline, MI
  • NPI 1043270499
  NPD (past)
• Marian M. Karl, PHD, LP

  • Psychologist
  • Ann Arbor, MI
  • NPI 1679583819
  NPD (past)
• Wardeh Mouzahem, FNP-BC

  • Nurse Practitioner
  • Livonia, MI
  • NPI 1578303830
  NPD (past)

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1245807825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15144 LEVAN RD STE 44",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545027",
            "telephone_number": "734-356-3303",
            "fax_number": "734-356-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15144 LEVAN RD STE 44",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545027",
            "telephone_number": "734-356-3303",
            "fax_number": "734-356-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "JOEL",
        "authorized_official_first_name": "BINJU",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "734-883-0356",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ruvieleta Ryza Jimenez
• Sruthi Jinna, MD
• Cheyenne Joaquin
• Harry L Joboulian, D.D.S.
• Shelby Casso Jocoy, DO
• Tuvia Joffe, D.O.
• John M. Colasanti, D.D.S., P.C.
• Sheeba Shajan John, AGACNP
• Brooke Johnecheck
• Julie H Johns, LMSW, ACSW

• Internal Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.