BODY WISE WEIGHT LOSS & AESTHETICS CENTER INC (NPI# 1639312960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639312960 |
| Entity Type | Organization |
| Organization Name | BODY WISE WEIGHT LOSS & AESTHETICS CENTER INC |
| Other Organization Name | BODY WISE MEDICINE |
| Practice Address |
3921 E Baseline Rd Suite 100 Gilbert AZ 85234-2727 |
| Practice Telephone | 4802895252 |
| Practice Fax Number | 4807765169 |
| Mailing Telephone | 4802895252 |
| Mailing Fax Number | 4807765169 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |
| Authorized Official Name | DR. PAUL ALAN MIKEL (PHYSICIAN OWNER) |
| Authorized Official Telephone | 4802895252 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
21229 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BODY WISE MEDICINE | Doing Business As Name - Organization |
| Street Address |
3921 E BASELINE RD SUITE 100 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972593580 | Angela S Filler | Pediatrics | 3921 E Baseline Rd, Suite 102, Gilbert, AZ 85234-2727 | 2005-10-25 |
| 1508207549 | Emily Schubbe | Physical Therapist | 3921 E Baseline Rd, Ste 105, Gilbert, AZ 85234-2727 | 2013-07-06 |
| 1013272327 | Nathan A West | Physical Therapist | 3921 E Baseline Rd, Ste 105, Gilbert, AZ 85234-2727 | 2012-07-12 |
| 1871850214 | Kimberly Ann Anderson | Nurse Practitioner | 3921 E Baseline Rd, Suite 100, Gilbert, AZ 85234-2727 | 2012-04-23 |
| 1396067849 | Asuka Bunazawa | Specialist | 3921 E Baseline Rd, Ste 105, Gilbert, AZ 85234-2727 | 2010-02-25 |
| 1477797710 | Desert Valley Gastroenterology, LLC | Internal Medicine | 3921 E Baseline Rd, Suite 001, Gilbert, AZ 85234-2727 | 2009-04-30 |
| 1962673269 | Crystal Miriah Vendrell | Physical Therapist | 3921 E Baseline Rd, Ste 108, Gilbert, AZ 85234-2727 | 2008-03-14 |
| 1588840953 | Paul A. Mikel Md Plc | Obstetrics & Gynecology | 3921 E Baseline Rd, Suite 100, Gilbert, AZ 85234-2727 | 2008-01-16 |
| 1992995674 | Jacquelyn Espinoza | Specialist | 3921 E Baseline Rd, Ste 108, Gilbert, AZ 85234-2727 | 2007-07-27 |
| 1427129964 | East Valley Rheumatology & Osteoporosis, PC | Internal Medicine | 3921 E Baseline Rd, Suite 108, Gilbert, AZ 85234-2727 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811438351 | Passport Health Holdings, LLC | Preventive Medicine | 1760 E Pecos Rd, Ste 301, Gilbert, AZ 85295-3203 | 2017-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227906 | Stchealth LLC | Preventive Medicine | 411 S 1st St, Phoenix, AZ 85004-2754 | 2020-05-26 |
| 1376033233 | Passport Health Holdings LLC | Preventive Medicine | 4647 N 32nd Street, Suite 115 1st Floor, Phoenix, AZ 85018-3346 | 2018-05-16 |
| 1578004008 | Passport Health Holdings, LLC | Preventive Medicine | 1116 E Route 66, Flagstaff, AZ 86001-4706 | 2017-03-16 |
| 1558802082 | Passport Health Holdings, LLC | Preventive Medicine | 2601 N. 3rd Street, Ste 102, Phoenix, AZ 85004-1145 | 2017-03-16 |
| 1366983801 | Passport Health Holdings, LLC | Preventive Medicine | 2034 E Southern Ave Ste L, Tempe, AZ 85282-7511 | 2017-03-16 |
| 1295119022 | Arizona Wellness Medicine LLC | Preventive Medicine | 8776 E Shea Blvd Ste 106-196, Scottsdale, AZ 85260-6629 | 2015-07-10 |
| 1285041822 | Jason Theodosakis | Preventive Medicine | 5257 N Via Sempreverde, Tucson, AZ 85750-5967 | 2014-07-15 |
| 1528369774 | Suzanne Lynn Valente | Preventive Medicine | 4775 S Butterfield Dr, Tucson, AZ 85714-3449 | 2010-11-04 |
| 1558690602 | Carlton Koons Meschievitz | Preventive Medicine | 222 Jacob Ln, Prescott, AZ 86303-8806 | 2009-12-21 |
| 1417181660 | James W. Justice | Preventive Medicine | 3663 E Kingler Spring Pl, Tucson, AZ 85718-2324 | 2009-05-03 |
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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.