Wellness and Longevity LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10533 Issued in OK

Legal business name

WELLNESS AND LONGEVITY LLC

Practice address

7530 NW 23Rd St
Bethany, OK 73008-4921

Phone

(405) 787-8556

NPI assigned

Oct 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Paul D Rothwell, M.D.

Title

Managing Member

Phone

(405) 787-8556

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1720314875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084921",
            "telephone_number": "405-787-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084921",
            "telephone_number": "405-787-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND LONGEVITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "ROTHWELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-787-8556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "OK",
            "license": "10533",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "10533",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": "10533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya C Washburn, MD
• Holly Dawn Watson
• Pamela Weaver, CMT
• Kelly Wedman, M.S.,CCC-SLP
• Mark Weissman, M.D.
• Wellnest Home Care LLC
• Stephenie Marie Wescoup, PH.D.
• Montrey Denise West, B.A.
• Christopher B White
• Makayla White, PT, DPT

• Family Medicine Physician in Bethany, OK
• Providers in Bethany, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.