Pioneer Health Alliance Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PIONEER HEALTH ALLIANCE INC

Practice address

1580 Santa Barbara Blvd
The Villages, FL 32159-6827

Phone

(352) 508-1125

Fax

(352) 674-4386

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Seema Khanna

Title

Owner/Operator

Phone

(352) 516-3972

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wellness On Wheels, Inc. Doing business as

Locations

Practitioners 2

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

• Brian J Ingleright, D.O.

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1558458570
  NPD (past)
• James Francis Murray II, D.O.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1760489900
  NPD (past)

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1497065478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-508-1125",
            "fax_number": "352-674-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-508-1125",
            "fax_number": "352-674-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH ALLIANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "352-516-3972"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010139401",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EY818A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness On Wheels, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenix Emergency Services of Leesburg LLC
• Physical Medicine & Rehab Associates
• Physical Therapy Now the Villages
• Kathleen Piazza, LCSW
• Pinnacle Home Care of the Villages LLC
• Joanne Pitera Studer, PSY.D.
• Mark K. Poff, D.O.
• Ilene Ruth Pollard, COTA
• Kaitlyn Pollitt, PTA
• Melinda Kay Pollitt, BC-HIS

• All providers in The Villages, FL
• Rural Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.