THE WELLNESS PLAN MEDICAL CENTERS (NPI# 1235651381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235651381 |
| Entity Type | Organization |
| Organization Name | THE WELLNESS PLAN MEDICAL CENTERS |
| Other Organization Name | THE WELLNESS PLAN |
| Practice Address |
46156 Woodward Ave Pontiac MI 48342-5033 |
| Mailing Address |
7700 2nd Ave Detroit MI 48202-2477 |
| Practice Telephone | 2488970900 |
| Practice Fax Number | 2488586499 |
| Mailing Telephone | 3132028660 |
| Mailing Fax Number | 3132028653 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | ANTHONY V KING (CEO & EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3132028550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
Nursing Service Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PER WPS | 1235651381 | 01 | |
| MI | PER WPS | PENDING | 01 |
| Other Name | Type Code |
|---|---|
| The Wellness Plan | Doing Business As Name - Organization |
| The Wellness Plan Medical Center- Pontiac | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114420353 | The Wellness Plan Medical Centers | Clinic/Center | 27321 Hampden St Rm 202, Madison Heights, MI 48071-3113 | 2018-03-14 |
| 1386684033 | The Wellness Plan Medical Centers | Pharmacy | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2006-06-08 |
| 1427416783 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2016-02-02 |
| 1447675434 | The Wellness Plan Medical Centers | Clinic/Center | 44405 Woodward Ave, Suite H-13, Pontiac, MI 48341-5023 | 2014-02-27 |
| 1558614289 | The Wellness Plan Medical Centers | Obstetrics & Gynecology | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2012-10-18 |
| 1801148911 | The Wellness Plan Medical Centers | Dentist | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2012-10-12 |
| 1669632816 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2008-06-11 |
| 1982863478 | The Wellness Plan Medical Centers | Clinic/Center | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2008-06-09 |
| 1043373244 | The Wellness Plan Medical Centers | Clinic/Center | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2006-12-18 |
| 1649229287 | The Wellness Plan Medical Centers | Internal Medicine | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2006-05-10 |
| Street Address |
46156 WOODWARD AVE |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342-5033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561015 | Angela M Porter | Internal Medicine | 46156 Woodward Ave, Suite B, Pontiac, MI 48342-5033 | 2005-07-08 |
| 1245775683 | Erinma Onyekachi Ezeugwa | Nurse Practitioner | 46156 Woodward Ave, Pontiac, MI 48342-5033 | 2016-12-20 |
| 1780601740 | Oakland Primary Health Services, Inc. | Clinic/Center | 46156 Woodward Ave, Suite B, Pontiac, MI 48342-5033 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| Find all providers in zip 48342 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205363207 | Oakland Integrated Healthcare Network | Clinic/Center | 1275 N Perry St, Pontiac, MI 48340-3135 | 2017-05-22 |
| 1962765529 | Oakland Integrated Healthcare Network | Clinic/Center | 114 Orchard Lake, Pontiac, MI 48341-2244 | 2012-06-19 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1316214299 | Oakland Integrated Healthcare Network | Clinic/Center | 461 W. Huron, Suite 107, Pontiac, MI 48341-2244 | 2011-11-21 |
| 1700315223 | Oakland Integrated Healthcare Network | Clinic/Center | 1051 Arlene Ave, Pontiac, MI 48340-2904 | 2017-06-08 |
| 1265975122 | Oakland Integrated Healthcare Network | Clinic/Center | 196 Cesar E Chavez Ave, Pontiac, MI 48342-1094 | 2016-11-28 |
| 1457711202 | Oakland Integrated Healthcare Network | Clinic/Center | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-03-07 |
| 1780601740 | Oakland Primary Health Services, Inc. | Clinic/Center | 46156 Woodward Ave, Suite B, Pontiac, MI 48342-5033 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| 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.