Southern Maine Wellness Works, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHERN MAINE WELLNESS WORKS, LLC

Doing business as

Southern Maine Integrative Health Center

Practice address

1662 Post Rd Ste B2-a
Wells, ME 04090-4638

Phone

(207) 360-2029

Fax

(207) 360-2033

NPI assigned

Dec 7, 2018

Last updated

Jul 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria I Oppen, NP

Title

Nurse Practitioner/Owner

Phone

(978) 996-7281

Specialties & licenses 1

Addresses

Other names 1

• Southern Maine Integrative Health Center Doing business as

Locations

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1760953319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 POST RD STE B2-A",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904638",
            "telephone_number": "207-360-2029",
            "fax_number": "207-360-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 POST RD STE B2-A",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904638",
            "telephone_number": "207-360-2029",
            "fax_number": "207-360-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAINE WELLNESS WORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "OPPEN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "978-996-7281",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Maine Integrative Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandhya Joy Shanley
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• Sarah Theberge, LMT

• Family Medicine Physician in Wells, ME
• Providers in Wells, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.