MEDICAL WELLNESS LLC (NPI# 1386023828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386023828 |
| Entity Type | Organization |
| Organization Name | MEDICAL WELLNESS LLC |
| Practice Address |
503 Wolcott Rd #3 Wolcott CT 06716-2673 |
| Practice Telephone | 2039481300 |
| Practice Fax Number | 8883726480 |
| Mailing Telephone | 2039481300 |
| Mailing Fax Number | 8883726480 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Authorized Official Name | MR. STEVEN PAUL JESKE (OWNER) |
| Authorized Official Telephone | 2039481300 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
12.004592 | CT | Ambulatory Health Care Facilities |
| Street Address |
503 WOLCOTT RD #3 |
| City | WOLCOTT |
| State | CT |
| Zip Code | 06716-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710935564 | Peter Giacomazzi | Internal Medicine | 503 Wolcott Rd, Wolcott, CT 06716-2613 | 2006-05-04 |
| 1528561800 | Inhouse Medical LLC | Internal Medicine | 503 Wolcott Rd, Wolcott, CT 06716-2673 | 2018-03-13 |
| 1417455171 | Nadimi Dental Care LLC | Dentist | 503 Wolcott Rd, Wolcott, CT 06716-2673 | 2018-01-29 |
| 1487187605 | Juliann Wood | Nurse Practitioner | 503 Wolcott Rd, Wolcott, CT 06716-2673 | 2017-04-05 |
| 1730631342 | Lindsay Wayman | Nurse Practitioner | 503 Wolcott Rd, 3, Wolcott, CT 06716-2673 | 2016-10-30 |
| 1235589292 | Lenese Robinson | Specialist | 503 Wolcott Rd, Wolcott, CT 06716-2673 | 2016-06-20 |
| 1457712820 | Life's Precious Moments | Specialist | 503 Wolcott Rd, Wolcott, CT 06716-2673 | 2016-03-14 |
| 1528427754 | Eszter Terez Peterfi | Nurse Practitioner | 503 Wolcott Rd, Wolcott, CT 06716 | 2016-02-16 |
| 1598138943 | Inhouse Care LLC | Clinic/Center | 503 Wolcott Rd, #3, Wolcott, CT 06716-2673 | 2015-11-06 |
| 1417350075 | Mohamad H Nadimi | Dentist | 503 Wolcott Rd, Wolcott, CT 06716-2673 | 2014-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043792708 | Angela Holly Berry | Nurse Practitioner | 17 Tyrrell Drive, Wolcott, CT 06716 | 2018-08-29 |
| 1114315322 | Kristen Bessette | Social Worker | 5 Pembroke Hill Road, Wolcott, CT 06716 | 2014-12-23 |
| 1740325596 | Richard A Dvarskas | Dentist | 311 Woodtick Rd, Wolcott, CT 06716 | 2007-02-20 |
| 1982743092 | Frank Cucolo | Chiropractor | 250 Wolcott Rd, Wolcott, CT 06716 | 2007-02-05 |
| 1598810731 | Family Dental Care LLC | Dentist | 503 Wolcott Road, Wolcott, CT 06716 | 2007-01-25 |
| 1033132386 | Paul Michael Didomizio | Chiropractor | 444 Wolcott Road, Wolcott, CT 06716 | 2006-07-26 |
| 1669402913 | Robert Alan Connors | Optometrist | 464 Wolcott Road, Wolcott, CT 06716 | 2006-07-03 |
| 1649724949 | Krista Conti | Physical Therapist | 465 Wolcott Rd, Wolcott, CT 06716 | 2016-08-04 |
| 1225331721 | Associates In Medicine | Internal Medicine | 464 Wolcott Road, Wolcott, CT 06716 | 2010-12-06 |
| 1710211370 | Deanna Jean Cichon Zimkus | Physician Assistant | 464 Wolcott Road, Advanced Dermatology Center, PC, Wolcott, CT 06716 | 2009-09-29 |
| Find all providers in zip 06716 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307751 | Pride Comprehensive Primary Care LLC | Clinic/Center | 7 Warren Rd, Wolcott, CT 06716-3015 | 2020-02-06 |
| 1598138943 | Inhouse Care LLC | Clinic/Center | 503 Wolcott Rd, #3, Wolcott, CT 06716-2673 | 2015-11-06 |
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| 1316405186 | Ct Optimal Wellness, LLC | Clinic/Center | 115 Technology Dr Unit A103, Trumbull, CT 06611-6338 | 2019-03-11 |
| 1922586809 | Emmaus Health LLC | Clinic/Center | 945 Main St Ste 205, Manchester, CT 06040-6064 | 2018-08-01 |
| 1841781382 | Clifford W. Beers Guidance Clinic Inc | Clinic/Center | 41 Marne St, Hamden, CT 06514 | 2018-05-21 |
| 1598284622 | Np Wellness Care | Clinic/Center | 253 Fairlawn Dr, Torrington, CT 06790-5809 | 2017-09-09 |
| 1245773191 | Anchor Health Initiative Corp. | Clinic/Center | 30 Myano Ln Ste 16, Stamford, CT 06902-4532 | 2016-11-27 |
| 1588114870 | Whole Self Wellness, LLC | Clinic/Center | 144 Banjo Sullivan Rd, Griswold, CT 06351-1201 | 2016-10-11 |
| 1265892541 | Amanda M Swan Aprn LLC | Clinic/Center | 33 Harmund Pl, Wethersfield, CT 06109-1209 | 2016-03-01 |
| 1215321666 | Grand Medical LLC | Clinic/Center | 515 Higgins Rd, Cheshire, CT 06410-3326 | 2015-03-24 |
| 1619254752 | Phillips Integrative Health | Clinic/Center | 801 Poquonnock Rd, Suite 6, Groton, CT 06340-4564 | 2011-11-03 |
| 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.