Physicians Holistic Health Alliance, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PHYSICIANS HOLISTIC HEALTH ALLIANCE, LLC

Practice address

230 E Day Rd
Suite 180
Mishawaka, IN 46545-3408

Phone

(574) 273-3880

Fax

(574) 271-0918

NPI assigned

Mar 29, 2011

Organization subpart

No

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

Authorized official

Name

Uthman Cavallo, M.D.

Title

President

Phone

57427333880

Specialties & licenses 2

Addresses

Tax ID family

Physicians Holistic Health Alliance LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Physicians Holistic Health Alliance, LLC

  • Specialist
  • South Bend, IN
  • NPI 1205176575
  NPD tax ID

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1508155664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "SUITE 180",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453408",
            "telephone_number": "574-273-3880",
            "fax_number": "574-271-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "SUITE 180",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453408",
            "telephone_number": "574-273-3880",
            "fax_number": "574-271-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HOLISTIC HEALTH ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "CAVALLO",
        "authorized_official_first_name": "UTHMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "57427333880",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Jeannine Pfaffenberger, R.D., C.D.
• David P Pflum, D.D.S.
• Michael James Phend, M.D.
• Sheila Lynne Phillips, FNP
• Phoenix Counseling Services, Incorporated
• Physicians Hospital, LLC
• Physiotherapy Associates Inc
• Pic Indiana PC
• Pic Indiana PC
• Michelle Nicole Pierson

• Obstetrics & Gynecology Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.