Healthy Weighs Metabolic Health and Weight Management Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42376 Issued in MN

Legal business name

HEALTHY WEIGHS METABOLIC HEALTH AND WEIGHT MANAGEMENT CLINIC, PLLC

Practice address

7460 Market Place Dr
Eden Prairie, MN 55344-3604

Phone

(952) 856-8900

Fax

(763) 244-8232

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Wiita, MD

Title

President

Phone

(952) 856-8902

Specialties & licenses 1

Addresses

Other names 1

• Healthy Weighs Clinic Doing business as

Locations

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1932472933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 MARKET PLACE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443604",
            "telephone_number": "952-856-8900",
            "fax_number": "763-244-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 MARKET PLACE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443604",
            "telephone_number": "952-856-8900",
            "fax_number": "763-244-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY WEIGHS METABOLIC HEALTH AND WEIGHT MANAGEMENT CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "WIITA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-856-8902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "42376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Weighs Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.