NPIMap

Organization Active NPI

Body Wise Weight Loss & Aesthetics Center Inc

Doing business as Body Wise Medicine

  • Public Health & General Preventive Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1639312960
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
21229 Issued in AZ
Legal business name
BODY WISE WEIGHT LOSS & AESTHETICS CENTER INC
Doing business as
Body Wise Medicine
Practice address
3921 E Baseline Rd
Suite 100
Gilbert, AZ 85234-2727
Phone
(480) 289-5252
Fax
(480) 776-5169
NPI assigned
Apr 16, 2009
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Dr. Paul Alan Mikel, M.D.NPI 1659347565
Title
Physician Owner
Phone
(480) 289-5252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X 21229 AZ Primary

Addresses

Primary practice location

3921 E Baseline Rd
Suite 100
Gilbert, AZ 85234-2727

Mailing address

3921 E Baseline Rd
Suite 100
Gilbert, AZ 85234-2727
Phone (480) 289-5252

Other names 1

  • BODY WISE MEDICINE Doing business as

National Provider Directory

National Provider Directory

Locations

3921 E Baseline Rd
Ste 100
Gilbert, AZ 85234
Phone (480) 289-5252

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1639312960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 E BASELINE RD",
            "address_2": "SUITE 100",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342727",
            "telephone_number": "480-289-5252",
            "fax_number": "480-776-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 E BASELINE RD",
            "address_2": "SUITE 100",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342727",
            "telephone_number": "480-289-5252",
            "fax_number": "480-776-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WISE WEIGHT LOSS & AESTHETICS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "MIKEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "480-289-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "AZ",
            "license": "21229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BODY WISE MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.