Full Circle Health & Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FULL CIRCLE HEALTH & WELLNESS

Practice address

1500 N Stephenson Hwy Ste 233
Royal Oak, MI 48067-1584

Phone

(313) 598-2819

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Tara Gholson

Title

Owner

Phone

(313) 598-2819

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1346980307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N STEPHENSON HWY STE 233",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671584",
            "telephone_number": "313-598-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N STEPHENSON HWY STE 233",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671584",
            "telephone_number": "313-598-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "GHOLSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-598-2819",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Frisch, FNP-BC
• Sally Ann Fry-Mason
• Claudia Fuderer, PA-C
• Sara C Fukuzawa, PA-C
• Fulcrum Med Inc.
• Brent Fuller
• Joseph Fullmer, MD
• Functional Physical Therapy of Royal Oak
• Mary Fundaro, LPN
• Victoria Anne Funk, REGISTER

• Primary Care Clinic/Center in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.