Medical Health & Wellness Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MEDICAL HEALTH & WELLNESS CLINIC LLC

Doing business as

Medical Health & Wellness Clinic

Practice address

1910 Calumet Ave
Valparaiso, IN 46383-2704

Phone

(219) 462-0014

Fax

(219) 252-0019

NPI assigned

Dec 18, 2018

Organization subpart

No

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

Authorized official

Name

Tikiri Ratnayake, MD

Title

Sole Member

Phone

(219) 462-0014

Specialties & licenses 1

Addresses

Other names 1

• Medical Health & Wellness Clinic Doing business as

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699247429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832704",
            "telephone_number": "219-462-0014",
            "fax_number": "219-252-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832704",
            "telephone_number": "219-462-0014",
            "fax_number": "219-252-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HEALTH & WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RATNAYAKE",
        "authorized_official_first_name": "TIKIRI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "219-462-0014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Health & Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen R McGuire, PTA
• William McKee, DC
• Ashley McLaughlin, M.S.ED
• Robert E. McMahon, DDS
• Frederick J Meccia, DPM
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• Allison Melendez
• George A Melnik, MD

• Primary Care Clinic/Center in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.