Hillside Wellness Plllp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4171 Issued in OK

Legal business name

HILLSIDE WELLNESS PLLLP

Practice address

2311 N 9TH St
Suite 101
Broken Arrow, OK 74012

Phone

(918) 806-4042

Fax

(918) 806-6044

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed Mayet Abdulrahim, D.CNPI 1619040292

Title

Owner

Phone

(918) 370-4042

Specialties & licenses 1

Addresses

Other names 1

• Hillside wellness Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed Mayet Abdulrahim, D.C.

  • Chiropractor
  • Alpine, CA
  • NPI 1619040292
  NPD (past) Authorized official
• Megan Catherine Mullins, LMT

  • Massage Therapist
  • Broken Arrow, OK
  • NPI 1174046510
  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1699216754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 N 9TH ST",
            "address_2": "SUITE 101",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-994-6666",
            "fax_number": "918-994-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 N 9TH ST",
            "address_2": "SUITE 101",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-806-4042",
            "fax_number": "918-806-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE WELLNESS PLLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "ABDULRAHIM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "MAYET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-370-4042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brienne Higgins
• Willow Highfill
• Riley Mark Hill, MD
• Tony R Hill, DO
• Jeffrey Hillhouse, PA-C
• Johnathan B Hines
• Elizabeth Fielder Hinson, CCC-SLP
• Ashlee Marie Hinton
• Thanh Hoang
• Thanh Tran Hoang, PTA

• Chiropractor in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.