Blue Horizen Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUE HORIZEN WELLNESS

Doing business as

Medi weightloss

Practice address

3333 S Sunny Slope Rd Ste 108
New Berlin, WI 53151-4504

Phone

(262) 317-9660

Fax

(262) 317-9660

NPI assigned

Jul 3, 2025

Organization subpart

No

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

Authorized official

Name

Maryam Shittu, MDNPI 1689922882

Title

Ceo

Phone

(909) 266-3404

Specialties & licenses 1

Addresses

Other names 1

• Medi weightloss Doing business as

Locations

Practitioners 1

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

• Maryam Shittu, MD

  • Internal Medicine Physician
  • New Berlin, WI
  • NPI 1689922882
  NPD Authorized official

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1518857416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 W RIVER ESTATES DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530922217",
            "telephone_number": "909-266-3404",
            "fax_number": "909-266-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S SUNNY SLOPE RD STE 108",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514504",
            "telephone_number": "262-317-9660",
            "fax_number": "262-317-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HORIZEN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "SHITTU",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-266-3404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi weightloss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• BK Acupuncture Clinic
• Georgia Rose Black, MS
• David Blake, M.D.
• Nancy Blankenship, M.D.
• Kimberly Block, APNP
• Joel Boerger
• Bethany T Bojcic, LCSW
• Jonathan Gabriel Bonchak, M.D.
• Michelle Bonjean, RPH
• Joseph Paul Bonneville, PA

• Family Medicine Physician in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.