Organization Active NPI

Oasis Wellness LLC

  • Surgery Physician
  • Globe, AZ
National Provider Identifier
1457477564
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
LT1717 Issued in AZ
Legal business name
OASIS WELLNESS LLC
Practice address
5860 S Hospital Dr
Suite 103
Globe, AZ 85501-9449
Phone
(928) 425-2884
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Leila ToddNPI 1134262017
Title
Manager
Phone
(928) 200-2165

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
Surgery Physician 208600000X LT1717 AZ Primary

Addresses

Primary practice location

5860 S Hospital Dr
Suite 103
Globe, AZ 85501-9449

Mailing address

PO Box 243
Globe, AZ 85502-0243

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457477564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855020243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 S HOSPITAL DR",
            "address_2": "SUITE 103",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019449",
            "telephone_number": "928-425-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-200-2165",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "LT1717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Globe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.