Organization Active NPI

B Well Clinic LLC

  • Preferred Provider Organization
  • New Albany, OH
National Provider Identifier
1891088969
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
B WELL CLINIC LLC
Practice address
5031 Forest Dr
Suite B
New Albany, OH 43054-7088
Phone
(614) 245-8582
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Vivette Blaha
Title
Manager
Phone
(614) 245-8582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X OH Primary

Addresses

Primary practice location

5031 Forest Dr
Suite B
New Albany, OH 43054-7088

Mailing address

5031 Forest Dr
Suite B
New Albany, OH 43054-7088
Phone (614) 245-8582

National Provider Directory

National Provider Directory

Locations

5031 Forest Dr
Ste B
New Albany, OH 43054
Phone (380) 213-6923

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": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891088969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 FOREST DR",
            "address_2": "SUITE B",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547088",
            "telephone_number": "614-245-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 FOREST DR",
            "address_2": "SUITE B",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547088",
            "telephone_number": "614-245-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B WELL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLAHA",
        "authorized_official_first_name": "VIVETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-245-8582"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.