NPIMap

Organization Active NPI

The Institute for Wellbeing LLC

  • Medical Physician Assistant
  • Port Orange, FL
National Provider Identifier
1609011501
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
THE INSTITUTE FOR WELLBEING LLC
Practice address
802 Dunlawton Ave
Suite 102
Port Orange, FL 32127-4931
Phone
(386) 763-2338
NPI assigned
Dec 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Miss Pamela Ross, PA-CNPI 1124202734
Title
Owner
Phone
(386) 763-2338

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

802 Dunlawton Ave
Suite 102
Port Orange, FL 32127-4931

Mailing address

802 Dunlawton Ave
Suite 102
Port Orange, FL 32127-4931
Phone (386) 763-2338

National Provider Directory

National Provider Directory

Locations

802 Dunlawton Ave
Ste 102
Port Orange, FL 32127
Phone (386) 763-2338

Practitioners & affiliated clinicians

Practitioners 1

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": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1609011501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 DUNLAWTON AVE",
            "address_2": "SUITE 102",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274931",
            "telephone_number": "386-763-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 DUNLAWTON AVE",
            "address_2": "SUITE 102",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274931",
            "telephone_number": "386-763-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INSTITUTE FOR WELLBEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-763-2338",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.