R2 Wellness Medical Group PLLC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

G0723 Issued in TX

Legal business name

R2 WELLNESS MEDICAL GROUP PLLC

Practice address

451 Westpark Way Ste 1
Euless, TX 76040-3994

Phone

(817) 571-6505

NPI assigned

Nov 30, 2017

Last updated

Nov 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnette Van Eeden

Title

Manager

Phone

(817) 571-6505

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Michael Aaron Johnson, DC

  • Chiropractor
  • Euless, TX
  • NPI 1376557744
  Medicare reassignment NPD

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1396259297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 WESTPARK WAY STE 5",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403703",
            "telephone_number": "817-571-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 WESTPARK WAY STE 1",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403994",
            "telephone_number": "817-571-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R2 WELLNESS MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "VAN EEDEN",
        "authorized_official_first_name": "JOHNETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-571-6505"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "G0723",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "TX",
            "license": "G0723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Putnam, M.S. CCC, SLP
• Keith Eugene Pyne, CHIROPRACTOR
• Quickcare
• R Edward Roybal MD PA
• R2 Well Practice Management
• Saad Roshanali Rajabali
• Real Smile Medical Transportation, LLC
• Gene P Ream, M.D.
• Redeem Health, LLC (Redeem Health Pharmacy)
• Amanee Reed, DOULA

• Preventive Medicine/Occupational Environmental Medicine Physician in Euless, TX
• Providers in Euless, TX by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.