Osteopathic Wellness Center, LLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

000523 Issued in CT

Legal business name

OSTEOPATHIC WELLNESS CENTER, LLC

Practice address

158 Danbury Rd
Suite 6
Ridgefield, CT 06877-3227

Phone

(203) 438-9915

Fax

(203) 431-4414

NPI assigned

Jan 14, 2010

Last updated

Sep 6, 2012By 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

Dr. David L Johnston, DONPI 1245212471

Title

Owner

Phone

(203) 438-9915

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

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.

• David L Johnston, DO

  • General Practice Physician
  • Ridgefield, CT
  • NPI 1245212471
  Authorized official Same address or phone

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1891026878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 DANBURY RD",
            "address_2": "SUITE 6",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773227",
            "telephone_number": "203-438-9915",
            "fax_number": "203-431-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 DANBURY RD",
            "address_2": "SUITE 6",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773227",
            "telephone_number": "203-438-9915",
            "fax_number": "203-431-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-438-9915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CT",
            "license": "000523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "040000523CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Abby Onorato, PT
• Opticare Eye Health Centers, Inc.
• Orthoconnecticut, PC (Danbury Orthopedics, New Milford Orthopedics, Coastal Orthopaedics)
• Orthoconnecticut, PLLC (Danbury Orthopedics, New Milford Orthopedics, Coastal Orthopaedics)
• Kaylee Ortiz
• Lisa Oths, LMSW
• Christine M Padilla, PHYSICIAN ASSISTANT
• Pain Management Associates of Connecticut, P.C.
• Lauren Pambianchi, APRN, RN, MSN, CPNP
• Cheryl Lynn Panosian-Haddad, MS

• Neuromusculoskeletal Medicine & OMM Physician in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.