WELLNESS GROUP, P.C. (NPI# 1013262351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013262351 |
| Entity Type | Organization |
| Organization Name | WELLNESS GROUP, P.C. |
| Other Organization Name | THE WELLNESS GROUP, P.C. |
| Practice Address |
802 Laporte Ave Porter Hospital Wound Care Center Valparaiso IN 46383-5860 |
| Mailing Address |
Po Box 1296 Valparaiso IN 46384-1296 |
| Practice Telephone | 2192634600 |
| Mailing Telephone | 2197075775 |
| Mailing Fax Number | 2197075775 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | DR. JANE BRADLAW (CHAIRMAN) |
| Authorized Official Telephone | 2197075775 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
02003905B | IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Wellness Group, P.C. | Doing Business As Name - Organization |
| Street Address |
802 LAPORTE AVE PORTER HOSPITAL WOUND CARE CENTER |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-5860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184678765 | Robert L Brunk II | Emergency Medicine | 802 Laporte Ave, Suite 102, Valparaiso, IN 46383-5860 | 2006-05-19 |
| 1013191139 | Maw Medicine PC | Clinic/Center | 802 Laporte Ave, Suite 102, Valparaiso, IN 46383-5860 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518509181 | Riverview Hospital | Clinic/Center | 9690 E 116th St, Fishers, IN 46037-2838 | 2019-10-15 |
| 1821334673 | -trinity Integrative Medicine | Clinic/Center | 100 West Court St, Trinity Integrative Medicine LLC, Jeffersonville, IN 47130 | 2012-12-26 |
| 1689070245 | Quad Med LLC | Clinic/Center | 502 High St, Logansport, IN 46947-2766 | 2014-11-10 |
| 1407007933 | Emergency Medical Group, Inc | Clinic/Center | 1701 N Senate Blvd, Rm Ag001, Indianapolis, IN 46202-1239 | 2008-10-02 |
| 1689620981 | St Anthony Medical Center | Clinic/Center | 1201 S Main St, Emergency Department, Crown Point, IN 46307-8481 | 2006-05-26 |
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on WELLNESS GROUP, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.