WHOLE HEALTH MEDICAL GROUP OHIO PROFESSIONAL CORPORATION (NPI# 1558767244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558767244 |
| Entity Type | Organization |
| Organization Name | WHOLE HEALTH MEDICAL GROUP OHIO PROFESSIONAL CORPORATION |
| Other Organization Name | CITI HEALTH SERVICES |
| Practice Address |
1000 Technology Dr O Fallon MO 63368-2239 |
| Mailing Address |
5500 Maryland Way Brentwood TN 37027-4948 |
| Practice Telephone | 6362611600 |
| Practice Fax Number | 6362611601 |
| Mailing Telephone | 6362611600 |
| Mailing Fax Number | 6362611601 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | JAMES THIEL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6154686548 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Citi Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821458183 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 91 Stirling Ave, Barberton, OH 44203-2615 | 2016-03-01 |
| 1780073270 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 3140 Tchulahoma Rd, Suite 1-4, Memphis, TN 38118-2722 | 2015-01-21 |
| 1396176038 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 12-773 State Rout 110, Napoleon, OH 43545-5898 | 2013-12-05 |
| 1366884504 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 1200 Merrill Creek Pkwy, Everett, WA 98203-7152 | 2013-07-29 |
| 1508113598 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 5550 Britton Pkwy, Hilliard, OH 43026-7456 | 2012-08-08 |
| 1215225545 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 202 Red Hawk Blvd, Smyrna, TN 37167-6753 | 2011-07-20 |
| 1023306446 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 6309 Lebanon Rd, Murfreesboro, TN 37129-7854 | 2011-07-19 |
| 1841588266 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 3301 Rock Springs Rd, Smyrna, TN 37167-6179 | 2011-07-19 |
| 1245527662 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 586b Fortress Blvd, Murfreesboro, TN 37128-4128 | 2011-07-06 |
| 1144528712 | Whole Health Medical Group Ohio Professional Corporation | General Practice | 1 Strawberry Ln, Orrville, OH 44667-1241 | 2011-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WHOLE HEALTH MEDICAL GROUP OHIO PROFESSIONAL CORPORATION | 5500 Maryland Way, Suite 120, Brentwood, TN 37027-4993 |
| Oregon Corporations, Companies and Business Names | WHOLE HEALTH MEDICAL GROUP OHIO PROFESSIONAL CORPORATION | 5500 Maryland Way, Ste 120, Brentwood, TN 37027 |
| Colorado Business Entities | Whole Health Medical Group Ohio Professional Corporation | 5500 Maryland Way, Suite 200, Brentwood, TN 37027 |
| Street Address |
1000 TECHNOLOGY DR |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1083958706 | O'fallon Pain Relief Associates LLC | Clinic/Center | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 | 2012-11-19 |
| 1609010859 | Holistic Health & Wellness Sc | Clinic/Center | 4965 Stone Falls Ctr, Suite # 7, O Fallon, IL 62269-7802 | 2009-04-30 |
| 1609942747 | Physician Groups Lc | Clinic/Center | 3449 Pheasant Meadow Dr, Suite 107, O Fallon, MO 63368-7364 | 2006-11-28 |
| 1184731010 | Back & Neck Care Center, P.C. | Clinic/Center | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 | 2006-08-24 |
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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.