WHOLE HEALTH MEDICAL GROUP OHIO PROF CORP (NPI# 1063770196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063770196 |
| Entity Type | Organization |
| Organization Name | WHOLE HEALTH MEDICAL GROUP OHIO PROF CORP |
| Other Organization Name | LIVING WELL HEALTH CENTER |
| Practice Address |
3925 159th Ave Ne Redmond WA 98052-6309 |
| Mailing Address |
5500 Maryland Way Brentwood TN 37027-4948 |
| Practice Telephone | 4252160550 |
| Practice Fax Number | 4252160551 |
| Mailing Telephone | 8778659013 |
| Mailing Fax Number | 4252160551 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | JAMES THIEL (OWNER) |
| Authorized Official Telephone | 6154686548 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LIving Well Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700161528 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 11401 N Congress Ave, Kansas City, MO 64153-1473 | 2011-10-12 |
| 1619286044 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 2111 Ne 25th Ave, Jf5-1 Mailstop Jf167, Hillsboro, OR 97124-5961 | 2010-10-04 |
| 1093098204 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 2501 Nw 229th Ave, Hillsboro, OR 97124-5506 | 2011-09-23 |
| 1104114529 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 100 W Burton St, Murfreesboro, TN 37130-3657 | 2011-07-19 |
| 1710281472 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 142 S Van Buren Ave, Barberton, OH 44203-3543 | 2011-01-10 |
| Street Address |
3925 159TH AVE NE |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588820 | Maria Anne Pielaet | Family Medicine | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2005-12-14 |
| 1801374814 | Danielle Bethany Dombek | Health Educator | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2018-08-01 |
| 1477041275 | Kayla Griggs | Radiologic Technologist | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2018-04-26 |
| 1679092183 | Lisa Henderson | Dietitian, Registered | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2017-09-15 |
| 1821510777 | Crossover Health Medical Group | Specialist | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2017-07-12 |
| 1598171100 | Natalie Potts | Dietitian, Registered | 3925 159th Ave Ne, Microsoft Campus Building 22, Redmond, WA 98052-6309 | 2014-07-02 |
| 1033522057 | Monroe Therapeutic Massage | Massage Therapist | 3925 159th Ave Ne, Building 21, Redmond, WA 98052 | 2014-06-06 |
| 1013355411 | Grace Erin Oppenheim | Nurse Practitioner | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2013-06-06 |
| 1851635122 | Mustafa Muhammad Idris | Chiropractor | 3925 159th Ave Ne, Building 21, Redmond, WA 98052-6309 | 2012-11-26 |
| 1366717373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2012-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619122934 | Eastside Retirement Association | Clinic/Center | 10901 176th Cir Ne, Redmond, WA 98052-7218 | 2008-12-01 |
| 1376076414 | High Desert Women's Care | Clinic/Center | 1245 Nw 4th St Ste 201, Redmond, OR 97756-1680 | 2017-04-05 |
| 1639517220 | Radiant Naturopathic Pllc | Clinic/Center | 16455 Ne 85th St, Suite 103, Redmond, WA 98052-3673 | 2013-06-05 |
| 1154699924 | Primary Care Redmond, Pllc | Clinic/Center | 8301 161st Ave Ne, Suite 100, Redmond, WA 98052-3858 | 2011-12-08 |
| 1912283805 | Laura Center PC | Clinic/Center | 218 Sw 4th St, Redmond, OR 97756-2312 | 2011-10-24 |
| 1285849042 | Central Oregon Family Medicine, P.C. | Clinic/Center | 645 Nw 4th, Redmond, OR 97756 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315808 | Vera Whole Health Wa, PC | Clinic/Center | 6700 Fort Dent Way Ste 100, Tukwila, WA 98188-2500 | 2020-08-05 |
| 1063037034 | Pioneer Family Medicine, Pllc | Clinic/Center | 20 E J St Ste 2b, Deer Park, WA 99006-8500 | 2020-06-15 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1548800451 | Vera Whole Health Wa PC | Clinic/Center | 1601 N Division St, Spokane, WA 99207-2427 | 2020-01-08 |
| 1821634312 | Columbia Basin Mobile Medicine LLC | Clinic/Center | 1357 Platinum Pl, West Richland, WA 99353-5108 | 2019-11-20 |
| 1063056497 | A Community Wellness Clinic LLC | Clinic/Center | 2405 E 17th Ave Ste 113, Spokane, WA 99223-5122 | 2019-10-29 |
| 1013550987 | Rejuventa Medical Corp. | Clinic/Center | 107 North Tower Ave Suite 17, Centralia, WA 98531-4253 | 2019-10-23 |
| 1023668407 | Vera Whole Health Wa, PC | Clinic/Center | 4933 Evergreen Way, Everett, WA 98203-2828 | 2019-09-17 |
| 1679042501 | Family and Wellness Medicine | Clinic/Center | 34004 16th Ave S Ste 100, Federal Way, WA 98003-8905 | 2018-11-20 |
| Find all providers with the same taxonomy | ||||
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| 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.