INNOVATIVE WELLNESS AND WEIGHT LOSS CENTER (NPI# 1336704758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336704758 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE WELLNESS AND WEIGHT LOSS CENTER |
| Practice Address |
322 Armbrust Rd Ste 102 Youngwood PA 15697-1816 |
| Practice Telephone | 7246350147 |
| Practice Fax Number | 7248040703 |
| Mailing Telephone | 7246350147 |
| Mailing Fax Number | 7248040703 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-12-18 |
| Authorized Official Name | MISS HEATHER PAVLINSKY (OWNER) |
| Authorized Official Telephone | 7246350147 |
| Authorized Official Credential | CRNP |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | NPI | 1811249196 | 01 |
| Street Address |
322 ARMBRUST RD STE 102 |
| City | YOUNGWOOD |
| State | PA |
| Zip Code | 15697-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811249196 | Heather Pavlinsky | Nurse Practitioner | 322 Armbrust Rd Ste 102, Youngwood, PA 15697-1816 | 2012-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295745644 | Marc Federico Pt LLC | Physical Therapist | 621 South Fifth Street, Suite B, Youngwood, PA 15697 | 2006-08-08 |
| 1679690036 | Dr. David J. Mondock Dmd PC | Dentist | 621 S 5th St, Youngwood, PA 15697-1112 | 2007-03-23 |
| 1184610115 | Marc S Federico | Physical Therapist | 621b S 5th St, Youngwood, PA 15697-1112 | 2005-09-26 |
| 1477944494 | David Mondock | Dentist | 621 S 5th St, Youngwood, PA 15697-1112 | 2015-02-12 |
| 1689678518 | Stephen Kelly | Chiropractor | 403 S 3rd St, Youngwood, PA 15697-1154 | 2005-06-09 |
| 1164460267 | Bompiani Chiropractic Clinic | Chiropractor | 403 S 3rd St, Youngwood, PA 15697-1154 | 2006-06-02 |
| 1356345276 | Anthony Louis Bompiani | Chiropractor | 403 S 3rd St, Youngwood, PA 15697-1154 | 2005-06-09 |
| 1477579894 | Bayers Pharmacy | Pharmacy | 1 N 4th St, Youngwood, PA 15697-1305 | 2006-07-15 |
| 1033211727 | Gregory S Hatalowich | Podiatrist | 12 N 4th St, Youngwood, PA 15697-1306 | 2006-09-02 |
| 1326110321 | Thomas Joseph Dececco | Dentist | 217 North Fifth Street, Youngwood, PA 15697-1317 | 2006-11-14 |
| Find all providers in zip 15697 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1245859388 | Accommodating Healthcare Solutions, PC | Clinic/Center | 1744 Bridgetown Pike, Feasterville Trevose, PA 19053-2362 | 2020-04-09 |
| 1427684059 | Health Care Center LLC | Clinic/Center | 16e Hanover Street, Hanover St, Gettysburg, PA 17325 | 2020-03-16 |
| 1518591163 | True Rejuvenation Peptide and Hormone Replacement Therapy Pllc | Clinic/Center | 4523 W Ridge Rd, Erie, PA 16506-1435 | 2020-02-22 |
| 1881238988 | Slrmed LLC | Clinic/Center | 781 Easton Rd, Warrington, PA 18976-2019 | 2019-10-31 |
| 1487205167 | Careatc | Clinic/Center | 6340 Flank Dr, Harrisburg, PA 17112-2764 | 2019-09-24 |
| 1770134454 | Careatc | Clinic/Center | 1126 Walnut St Ste B, Lebanon, PA 17042-5939 | 2019-09-24 |
| 1023670189 | Avalon Primary Care, PC | Clinic/Center | 2160 Lincoln Hwy E Ste 1-a4, Lancaster, PA 17602-1150 | 2019-06-28 |
| 1639734213 | Ideal Wellness Family Practice, PC | Clinic/Center | 701 Leon Ave, Palmyra, PA 17078-3554 | 2019-05-08 |
| 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.