NPIMap

Organization Active NPI

Wellness Within Jackson II

  • Obesity Medicine (Internal Medicine) Physician
  • Jackson, MI
National Provider Identifier
1760109847
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
WELLNESS WITHIN JACKSON II
Practice address
3343 Spring Arbor Rd Ste 300
Jackson, MI 49203-8623
Phone
(517) 206-3698
NPI assigned
Oct 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Ashley Frederick, MGR
Title
MGR
Phone
(517) 206-3698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RB0002X Primary

Addresses

Primary practice location

3343 Spring Arbor Rd Ste 300
Jackson, MI 49203-8623

Mailing address

3343 Spring Arbor Rd Ste 300
Jackson, MI 49203-8623

National Provider Directory

National Provider Directory

Locations

3343 Spring Arbor Rd
Jackson, MI 49203

3343 Spring Arbor Rd
Ste 300
Jackson, MI 49203
Phone (517) 768-1700

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1760109847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 SPRING ARBOR RD STE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492038623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 SPRING ARBOR RD STE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492038623",
            "telephone_number": "517-206-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WITHIN JACKSON II",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "517-206-3698",
        "authorized_official_credential": "MGR"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.