Medical Wellness Solutions, Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MEDICAL WELLNESS SOLUTIONS, INC

Practice address

1100 S College St
108C
Auburn, AL 36832-5899

Phone

(334) 209-2122

NPI assigned

Jan 29, 2015

Last updated

Jan 29, 2015By 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

Gene Gordon, MD

Title

Managing Physician

Phone

(334) 209-2122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1790175776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 VAUGHN RD",
            "address_2": "#165",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166625",
            "telephone_number": "334-209-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COLLEGE ST",
            "address_2": "108C",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368325899",
            "telephone_number": "334-209-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WELLNESS SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "334-209-2122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.