Organization Active NPI

4M Life LLC

  • Health & Wellness Coach
  • Upper Arlington, OH
National Provider Identifier
1477201010
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
4M LIFE LLC
Practice address
2025 Riverside Dr Ste 408
Upper Arlington, OH 43221-4012
Phone
(614) 881-1828
Fax
(614) 881-1792
NPI assigned
Mar 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Dr. Sarah Bonza, MD
Title
Owner
Phone
(614) 881-1828

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

2025 Riverside Dr Ste 408
Upper Arlington, OH 43221-4012

Mailing address

2025 Riverside Dr Ste 408
Upper Arlington, OH 43221-4012
Phone (614) 881-1828

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WellcoachesEHR Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1477201010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 RIVERSIDE DR STE 408",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432214012",
            "telephone_number": "614-881-1828",
            "fax_number": "614-881-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 RIVERSIDE DR STE 408",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432214012",
            "telephone_number": "614-881-1828",
            "fax_number": "614-881-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4M LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "BONZA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-881-1828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WellcoachesEHR",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Cloud-Based",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2025 Riverside Dr Ste 408",
            "city": "Upper Arlington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432214012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Arlington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.