Wellnessone Ancillary Services LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WELLNESSONE ANCILLARY SERVICES LLC

Practice address

4736A Highway 17 Byp S
Myrtle Beach, SC 29588-5616

Phone

(843) 444-9355

NPI assigned

Feb 11, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Darin Green

Title

Manager

Phone

(843) 444-9355

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1285973255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736A HIGHWAY 17 BYP S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295885616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736A HIGHWAY 17 BYP S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295885616",
            "telephone_number": "843-444-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSONE ANCILLARY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-444-9355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Joy Weinheimer, DO
• Nicholas Weishar
• Well Care Home Health of the Lowcountry
• Wellness Hunters LLC
• Wellness One, LLC
• Wellnessone, LLC
• John Patrick Welsh, M.D.
• Tyler James Welter, MD
• Kenneth Jaan Wenz, MD
• Michael N Wert, RPH

• Multi-Specialty Clinic/Center in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Multi-Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.