Wellness Today Medical Clinic, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10747 Issued in AZ

Legal business name

WELLNESS TODAY MEDICAL CLINIC, INC.

Practice address

13090 N 94TH Dr
# 204
Peoria, AZ 85381-4256

Phone

(623) 972-6700

NPI assigned

Sep 3, 2008

Last updated

Dec 18, 2008By 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

Mr. Paul M Shanahan

Title

Billing Manager

Phone

(623) 974-6611

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1629226816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR",
            "address_2": "# 204",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814256",
            "telephone_number": "623-972-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR",
            "address_2": "# 204",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814256",
            "telephone_number": "623-972-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS TODAY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "623-974-6611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "10747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Weintraub-Farr, MS, LAC
• Zachary Weisenberger, PT, DPT
• Wayne A Weissinger, NPC
• Mark William Wellman, OD
• Wellness for Life Family Practice
• Janeen Lealice Wells, LPC
• Kiersten Wells, LCSW
• Elizabeth Ann Wennerstrom, PA
• Amija Wento
• Katherine Sara Werner

• Internal Medicine Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.