Organization Active NPI

Healthwise Wellness Direct PLLC

  • Obstetrics & Gynecology Physician
  • Pine Bluff, AR
National Provider Identifier
1336859354
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HEALTHWISE WELLNESS DIRECT PLLC
Practice address
4014 Old Warren Rd
Pine Bluff, AR 71603-6110
Phone
(870) 454-4354
Fax
(870) 228-0123
NPI assigned
Nov 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Dr. Tochi Amagwula, MD
Title
Owner
Phone
(870) 454-4354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4014 Old Warren Rd
Pine Bluff, AR 71603-6110

Mailing address

4014 Old Warren Rd
Pine Bluff, AR 71603-6110
Phone (870) 454-4354

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": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1336859354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 OLD WARREN RD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036110",
            "telephone_number": "870-454-4354",
            "fax_number": "870-228-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 OLD WARREN RD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036110",
            "telephone_number": "870-454-4354",
            "fax_number": "870-228-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE WELLNESS DIRECT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "AMAGWULA",
        "authorized_official_first_name": "TOCHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-454-4354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.