The Health & Wellness Center for Men, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2014014296 Issued in MO

Legal business name

THE HEALTH & WELLNESS CENTER FOR MEN, LLC

Practice address

9717 Landmark Parkway Dr
Suite 115
Saint Louis, MO 63127-1628

Phone

(314) 722-6555

Fax

(314) 722-6551

NPI assigned

Aug 13, 2015

Last updated

Aug 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Secil A Schodroski, FNPNPI 1508278730

Title

Owner

Phone

(314) 722-6555

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Secil Schodroski, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1508278730
  Authorized official Same address or phone

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1609242619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 LANDMARK PARKWAY DR",
            "address_2": "SUITE 115",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271628",
            "telephone_number": "314-722-6555",
            "fax_number": "314-722-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 LANDMARK PARKWAY DR",
            "address_2": "SUITE 115",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271628",
            "telephone_number": "314-722-6555",
            "fax_number": "314-722-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH & WELLNESS CENTER FOR MEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "SCHODROSKI",
        "authorized_official_first_name": "SECIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-722-6555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014014296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.