NPIMap

Organization Active NPI

Ascension Wellness

  • Acupuncturist
  • Riverview, FL
National Provider Identifier
1285968008
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2707 Issued in FL
Legal business name
ASCENSION WELLNESS
Practice address
11025 Pond Pine Dr
Riverview, FL 33569-2235
Phone
(813) 732-2108
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Mark Abraham, D.O.M.NPI 1609004118
Title
Ceo
Phone
(813) 732-2108

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP2707 FL Primary

Addresses

Primary practice location

11025 Pond Pine Dr
Riverview, FL 33569-2235

Mailing address

11025 Pond Pine Dr
Riverview, FL 33569-2235
Phone (813) 732-2108

Other identifiers 1

IdentifierTypeStateIssuer
COOOEOtherFLBLUE CROSS/BLUE SHIELD PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1285968008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 POND PINE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692235",
            "telephone_number": "813-732-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 POND PINE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692235",
            "telephone_number": "813-732-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-732-2108",
        "authorized_official_credential": "D.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD PROVIDER NUMBER",
            "identifier": "COOOE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.