In Wellness LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

TBD Issued in AZ

Legal business name

IN WELLNESS LLC

Practice address

2020 W Skinner Dr
Phoenix, AZ 85085-2003

Phone

(480) 208-6539

NPI assigned

Mar 31, 2017

Last updated

Mar 31, 2017By 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

John Alexander Mellin III, MBR

Title

Owner

Phone

(480) 208-6539

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1871025502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W SKINNER DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W SKINNER DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852003",
            "telephone_number": "480-208-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "MELLIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-208-6539",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.