WELLNESS PROFESSIONALS LTD (NPI# 1255350120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255350120 |
| Entity Type | Organization |
| Organization Name | WELLNESS PROFESSIONALS LTD |
| Practice Address |
710 S Main St Suite 2 Troy IL 62294-1817 |
| Practice Telephone | 6186671900 |
| Practice Fax Number | 6186671919 |
| Mailing Telephone | 6186671900 |
| Mailing Fax Number | 6186671919 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-06-04 |
| Authorized Official Name | ALAN HAGEN (OWNER) |
| Authorized Official Telephone | 6186671900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036097781 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
710 S MAIN ST SUITE 2 |
| City | TROY |
| State | IL |
| Zip Code | 62294-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437601283 | Gateway Dental Group, LLC | Dentist | 606 Edwardsville Road, Troy, IL 62294 | 2016-10-27 |
| 1194056093 | Carol Ann Slazinik | Nurse Anesthetist, Certified Registered | 8634 Blackjack Hollow Ln, Troy, IL 62294 | 2010-01-18 |
| 1083786248 | Andrea B. Shaw, Lcsw | Social Worker | 552 Edwardsville Road, Troy, IL 62294 | 2006-11-14 |
| 1457456923 | Kurt Dick James | Dentist | 550 Edwardsville Rd, Troy, IL 62294 | 2006-09-13 |
| 1992713846 | Rhonda Beth Hanser | Dentist | 334 Bargraves Blvd, Troy, IL 62294 | 2006-08-04 |
| 1487692430 | Deborah Lea Fowler Dixon Bross | Family Medicine | 301 Edwardsville Road, Troy, IL 62294 | 2006-06-03 |
| 1225081052 | Patricia Ellen Miller | Pharmacist | 101 E Market, Troy, IL 62294 | 2006-05-19 |
| 1174576441 | Michael G Csaszar | Dentist | 7656 Plummer Business Drive, Troy, IL 62294 | 2006-05-18 |
| 1710946280 | Rodney L Lupardus | Family Medicine | 108 West Us Highway 40, Troy, IL 62294 | 2006-03-22 |
| 1992080774 | Larrah Lenn Duckworth | Pharmacist | 640 Edwardsville Rd, Troy, IL 62294 | 2011-10-12 |
| Find all providers in zip 62294 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346801032 | Compassionate Medical Services Plc | Internal Medicine | 2847 Briarwood Dr, Troy, MI 48085-1153 | 2019-06-24 |
| 1891262341 | James Bazzi Md PC | Internal Medicine | 3455 Livernois Rd, Troy, MI 48083-5063 | 2018-11-01 |
| 1649707134 | Aspan Medical Services, Pllc | Internal Medicine | 3400 Livernois Rd, Troy, MI 48083-5063 | 2017-05-16 |
| 1689105421 | Ausi Medical Center PC | Internal Medicine | 5032 Rochester Rd, Suite 200, Troy, MI 48085-3454 | 2017-03-23 |
| 1598202467 | Mercy Family Care Center Pllc | Internal Medicine | 4091 Chatwal Ct, Troy, MI 48085-0001 | 2017-01-30 |
| 1811349822 | Kruthika Shanmugam | Internal Medicine | 2064 Coolidge Hwy, Apt 210, Troy, MI 48084-3616 | 2016-07-01 |
| 1437506052 | Lequishia Alexander Md Pllc | Internal Medicine | 2366 John R Rd Apt 205, Troy, MI 48083-2573 | 2016-05-24 |
| 1528478948 | Ahmed Mostafa Naderramadan Mohamed | Internal Medicine | 2791 Charter Dr Apt 117, Troy, MI 48083-1325 | 2014-05-07 |
| 1033539846 | Nashwa Khogali-jakary | Internal Medicine | 3290 W Big Beaver Rd Ste 420, Troy, MI 48084-2931 | 2014-04-18 |
| 1154740942 | Waseem Ghanim Petros | Internal Medicine | 2221 Livernois Rd Ste 100, Troy, MI 48083-1603 | 2014-04-09 |
| Find all providers in TROY | ||||
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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.