NPIMap

Organization Active NPI

Mark R. Pitstick

Doing business as Radiant Wellness Center, LLC

  • Clinic/Center
  • Chillicothe, OH
National Provider Identifier
1730436825
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1196 Issued in OH
Legal business name
MARK R. PITSTICK
Doing business as
Radiant Wellness Center, LLC
Practice address
42 N Plaza Blvd
Chillicothe, OH 45601-1757
Phone
(740) 772-4476
Fax
(740) 774-4478
NPI assigned
Aug 8, 2012
Last updated
Sep 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Mark R Pitstick, D.C.NPI 1225108145
Title
Owner
Phone
(740) 772-4476

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
Clinic/Center 261Q00000X 1196 OH Primary

Addresses

Primary practice location

42 N Plaza Blvd
Chillicothe, OH 45601-1757

Mailing address

42 N Plaza Blvd
Chillicothe, OH 45601-1757
Phone (740) 772-4476

Other names 1

  • Radiant Wellness Center, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

42 N Plaza Blvd
Chillicothe, OH 45601
Phone (740) 772-4476

Practitioners & affiliated clinicians

Practitioners 2

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": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1730436825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 N PLAZA BLVD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011757",
            "telephone_number": "740-772-4476",
            "fax_number": "740-774-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N PLAZA BLVD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011757",
            "telephone_number": "740-772-4476",
            "fax_number": "740-774-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R. PITSTICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "PITSTICK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-772-4476",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "1196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.