Organization Active NPI

Mi Primary Care Practice, PC

Doing business as WellNow Allergy

  • Allergy & Immunology Physician
  • Muncie, IN
National Provider Identifier
1811631641
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
MI PRIMARY CARE PRACTICE, PC
Doing business as
WellNow Allergy
Practice address
1313 W McGalliard Rd Ste 2
Muncie, IN 47303-1774
Phone
(765) 216-3115
Fax
(765) 216-3116
NPI assigned
Apr 27, 2022
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Tracy Sciolino
Title
Manager
Phone
(716) 699-9032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X Primary

Addresses

Primary practice location

1313 W McGalliard Rd Ste 2
Muncie, IN 47303-1774

Mailing address

PO Box 500
Ellicottville, NY 14731-0500
Phone (716) 699-9032

Other practice location 1

123 S Franklin Rd Ste 2
Bloomington, IN 47404-5296
Phone (812) 778-3116

Other practice location 2

9300 State Route 14 Ste B
Streetsboro, OH 44241-5201
Phone (330) 474-6337

Other names 1

  • WellNow Allergy Doing business as

National Provider Directory

National Provider Directory

Locations

123 S Franklin Rd
Ste 2
Bloomington, IN 47404
Phone (812) 778-3116

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

6006 Andrews Rd
Ste B
Mentor on the Lake, OH 44060
Phone (440) 701-4155

9300 State Route 14
Ste B
Streetsboro, OH 44241
Phone (330) 474-6099

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": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1811631641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "147310500",
            "telephone_number": "716-699-9032",
            "fax_number": "716-699-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W MCGALLIARD RD STE 2",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031774",
            "telephone_number": "765-216-3115",
            "fax_number": "765-216-3116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 S Franklin Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474045296",
            "country_code": "US",
            "telephone_number": "812-778-3116",
            "fax_number": "812-778-3117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 State Route 14 Ste B",
            "address_purpose": "LOCATION",
            "city": "Streetsboro",
            "state": "OH",
            "postal_code": "442415201",
            "country_code": "US",
            "telephone_number": "330-474-6337",
            "fax_number": "330-474-6338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MI PRIMARY CARE PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "SCIOLINO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-699-9032"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellNow Allergy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellNow Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.