LODGE AT SEDONA, LLC (NPI# 1780084236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780084236 |
| Entity Type | Organization |
| Organization Name | LODGE AT SEDONA, LLC |
| Other Organization Name | SEDONA WELLNESS RETREAT |
| Practice Address |
125 Kallof Pl Lodge At Sedona Sedona AZ 86336-5566 |
| Practice Telephone | 9282041942 |
| Practice Fax Number | 9282042128 |
| Mailing Telephone | 9282041942 |
| Mailing Fax Number | 9282042128 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |
| Authorized Official Name | RYAN FERCHOFF (DIRECTOR) |
| Authorized Official Telephone | 9286132233 |
| Authorized Official Credential | N.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 175F00000X | Naturopath | Other Service Providers | ||
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sedona Wellness Retreat | Doing Business As Name - Organization |
| Street Address |
125 KALLOF PL LODGE AT SEDONA |
| City | SEDONA |
| State | AZ |
| Zip Code | 86336-5566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114114329 | Ryan Dale Ferchoff | Naturopath | 125 Kallof Pl, Sedona, AZ 86336-5566 | 2007-10-02 |
| 1598239949 | Kendra Quart | Naturopath | 125 Kallof Pl, Sedona, AZ 86336-5566 | 2019-01-18 |
| 1649742693 | Allison B. Merkey | Naturopath | 125 Kallof Pl, Sedona, AZ 86336 | 2018-12-31 |
| 1780196675 | Brett F Shenkman | Naturopath | 125 Kallof Pl, Sedona, AZ 86336-5566 | 2017-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356889711 | Spectrum Healthcare Group, Inc | Pediatrics | 2880 Hopi Drive, Sedona, AZ 86336 | 2017-02-06 |
| 1891239794 | Lisa White | Acupuncturist | 60 Tortilla Dr., Namti Spa, Sedona, AZ 86336 | 2016-12-12 |
| 1215488747 | Julie Frame | Pharmacist | 20 Airport Road, Sedona, AZ 86336 | 2016-10-19 |
| 1962847665 | Daniel Harner | Counselor | 1785 Hwy 89, Suite 1b, Sedona, AZ 86336 | 2013-05-08 |
| 1679874283 | Sarah Anne Wollheim | Occupational Therapist | 221 Brewer Rd, Sedona-oak Creek United Schools, Sedona, AZ 86336 | 2010-11-12 |
| 1245540681 | Jacqueline B. Thompson | Specialist/Technologist | 280 Windsong Drive, Sedona, AZ 86336 | 2010-10-19 |
| 1528391802 | Sarah Mowdy | Acupuncturist | 1785 Az-89a #1b, Sedona, AZ 86336 | 2009-09-17 |
| 1528391885 | Jacob L Shapiro | Massage Therapist | 45 Stations West Dr, Sedona, AZ 86336 | 2009-09-17 |
| 1407087349 | Lauren Anne Pihlgren | Neuromusculoskeletal Medicine & OMM | 2030 W. Hwy 89a, Suite B-4, Sedona, AZ 86336 | 2009-07-27 |
| 1679741938 | Jo Stone-carmen | Counselor | 161 Lake Dr., Sedona, AZ 86336 | 2008-02-20 |
| Find all providers in zip 86336 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578911343 | Geripsych Np Consultants LLC | Clinic/Center | 450 Jordan Rd, Ste 6, Sedona, AZ 86336-4166 | 2016-06-02 |
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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.