Organization Active NPI

Total Health & Wellness, LLC

  • Family Medicine Physician
  • Wagoner, OK
National Provider Identifier
1487433678
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TOTAL HEALTH & WELLNESS, LLC
Practice address
611 W Cherokee St Ste D
Wagoner, OK 74467-4618
Phone
(918) 201-4147
NPI assigned
Sep 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
April GunterNPI 1033986872
Title
Owner
Phone
(918) 201-4147

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

611 W Cherokee St Ste D
Wagoner, OK 74467-4618

Mailing address

611 W Cherokee St Ste D
Wagoner, OK 74467-4618
Phone (918) 201-4147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231227000804 OK Part B Supplier - Clinic/Group Practice 1850741299 Receives reassigned benefits from 6 practitioners
Practice locations: Ada, OK; Sallisaw, OK; Wagoner, OK

National Provider Directory

National Provider Directory

Locations

611 W Cherokee St
Wagoner, OK 74467
Phone (918) 201-4147

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1487433678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W CHEROKEE ST STE D",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674618",
            "telephone_number": "918-201-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W CHEROKEE ST STE D",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674618",
            "telephone_number": "918-201-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-201-4147"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagoner, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.