Organization Active NPI

East West Health Center

  • Medical Specialty Clinic/Center
  • Bradenton, FL
National Provider Identifier
1801110622
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
AP1663 Issued in FL
Legal business name
EAST WEST HEALTH CENTER
Practice address
1216 13TH Ave W
Bradenton, FL 34205-7345
Phone
(941) 744-9770
Fax
(941) 527-0223
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Martha Pelletier, APNPI 1831157130
Title
Owner
Phone
(941) 744-9770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X AP1663 FL Primary

Addresses

Primary practice location

1216 13TH Ave W
Bradenton, FL 34205-7345

Mailing address

1216 13TH Ave W
Bradenton, FL 34205-7345
Phone (941) 744-9770

Other identifiers 1

IdentifierTypeStateIssuer
C0790OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

1216 13th Ave W
Bradenton, FL 34205
Phone (941) 744-9770

Practitioners & affiliated clinicians

Practitioners 1

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": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1801110622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 13TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057345",
            "telephone_number": "941-744-9770",
            "fax_number": "941-527-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 13TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057345",
            "telephone_number": "941-744-9770",
            "fax_number": "941-527-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "PELLETIER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-744-9770",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "AP1663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C0790",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

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