Inneractive Wellness, Inc.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

33D1057519 Issued in NY

Legal business name

INNERACTIVE WELLNESS, INC.

Practice address

132 Albany St
Cazenovia, NY 13035-1231

Phone

(315) 655-1055

Fax

(315) 207-3021

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Eugene Bailey, MD

Title

Medical Director

Phone

(315) 655-1055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1922367754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ALBANY ST",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130351231",
            "telephone_number": "315-655-1055",
            "fax_number": "315-207-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ALBANY ST",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130351231",
            "telephone_number": "315-655-1055",
            "fax_number": "315-207-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERACTIVE WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "315-655-1055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "33D1057519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Arlis Green, M.D.
• Kerry Guerin
• Will Hartley, LCSW-R
• Stephanie Henry
• Michael E. Holdren, PH.D.
• J. Kurt Concilla, D.P.M., PLLC
• Jan Tewes,LCSW,PLLC
• Joseph Jennings Johnston, LCSW
• Cynthia B Jones, MD
• Sunny Jung, DMD

• Public Health & General Preventive Medicine Physician in Cazenovia, NY
• Providers in Cazenovia, NY by specialty
• Public Health & General Preventive Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.