Elan Wellness Center, LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

001167140 Issued in MA

Legal business name

ELAN WELLNESS CENTER, LLC

Practice address

67 Brigham St
New Bedford, MA 02740-2211

Phone

(774) 992-7916

NPI assigned

Apr 28, 2015

Organization subpart

No

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

Authorized official

Name

Michael Sheehan

Title

Administrator

Phone

(774) 992-7916

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1336526482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BRIGHAM ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BRIGHAM ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402211",
            "telephone_number": "774-992-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAN WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "774-992-7916"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MA",
            "license": "001167140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Joyce Einsidler, RPH
• Scott Jeffrey Eisner, MA
• Jill Leslie Eklund, LICSW
• Seanan Elizabeth El-Daher
• Moftah El-Ghadi, DMD
• Mahmoud Eldafrawy, DMD
• Kimberly Ann Elias, RPH
• Elizabeth Cabral
• Geraldine M Elliott
• Kathleen Mary Elliott, ANP

• Addiction Medicine (Internal Medicine) Physician in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Addiction Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.