Organization Active NPI

Wellness Practice of Pittsburgh, P.C.

Doing business as BodyLogicMD of Pittsburgh

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1578863833
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD033145E Issued in PA
Legal business name
WELLNESS PRACTICE OF PITTSBURGH, P.C.
Doing business as
BodyLogicMD of Pittsburgh
Practice address
681 Andersen Dr
Ste 301
Pittsburgh, PA 15220-2766
Phone
(866) 441-0531
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Dr. Keith Wharton, MD
Title
Director
Phone
(866) 441-0531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD033145E PA Primary

Addresses

Primary practice location

681 Andersen Dr
Ste 301
Pittsburgh, PA 15220-2766

Mailing address

681 Andersen Dr
Ste 301
Pittsburgh, PA 15220-2766
Phone (866) 441-0531

Other names 1

  • BodyLogicMD of Pittsburgh Doing business as

National Provider Directory

National Provider Directory

Locations

681 Andersen Dr
Ste 301
Pittsburgh, PA 15220
Phone (866) 441-0531

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1578863833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 ANDERSEN DR",
            "address_2": "STE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202766",
            "telephone_number": "866-441-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 ANDERSEN DR",
            "address_2": "STE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202766",
            "telephone_number": "866-441-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PRACTICE OF PITTSBURGH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "WHARTON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-441-0531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD033145E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Pittsburgh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.