Organization Active NPI

Senior Wellness Group of Alabama

  • Durable Medical Equipment & Medical Supplies
  • Fairhope, AL
National Provider Identifier
1376870626
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2284 Issued in AL
Legal business name
SENIOR WELLNESS GROUP OF ALABAMA
Practice address
100 N Bancroft St
Suite 1a Room 3
Fairhope, AL 36532-2444
Phone
(251) 928-7885
Fax
(888) 794-1367
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Dr. Michael David Tremba, DCNPI 1740377142
Title
Managing Member
Phone
(414) 881-0225

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
Durable Medical Equipment & Medical Supplies 332B00000X 2284 AL Primary

Addresses

Primary practice location

100 N Bancroft St
Suite 1a Room 3
Fairhope, AL 36532-2444

Mailing address

100 N Bancroft St
Room 3 Suite 1a
Fairhope, AL 36532-2444
Phone (251) 928-7885

National Provider Directory

National Provider Directory

Locations

100 N Bancroft St
Ste A1
Fairhope, AL 36532
Phone (251) 928-7885

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1376870626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BANCROFT ST",
            "address_2": "ROOM 3 SUITE 1A",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322444",
            "telephone_number": "251-928-7885",
            "fax_number": "888-794-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BANCROFT ST",
            "address_2": "SUITE 1A ROOM 3",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322444",
            "telephone_number": "251-928-7885",
            "fax_number": "888-794-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR WELLNESS GROUP OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "TREMBA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "414-881-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "2284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.