Oeg Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OEG WELLNESS LLC

Doing business as

Thrive Wellness Groups

Practice address

5400 Maryland Way Ste 100
Brentwood, TN 37027-5048

Phone

(615) 712-8712

Fax

(615) 369-3297

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Donald Glen Blaschke II, MD

Title

Manager

Phone

(615) 979-9453

Specialties & licenses 1

Addresses

Other names 1

• Thrive Wellness Groups Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1467037523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MARYLAND WAY STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275048",
            "telephone_number": "615-712-8712",
            "fax_number": "615-369-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MARYLAND WAY STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275048",
            "telephone_number": "615-712-8712",
            "fax_number": "615-369-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OEG WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "BLASCHKE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-979-9453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://thrive-brentwood.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "client portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "5400 Maryland Way Ste 100",
            "city": "Brentwood",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370275048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Thrive Wellness Groups",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.