MIDWEST WELLNESS LLC (NPI# 1306222757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306222757 |
| Entity Type | Organization |
| Organization Name | MIDWEST WELLNESS LLC |
| Other Organization Name | MD MEDICAL WEIGHTLOSS AND WELLNESS CENTERS |
| Practice Address |
6822 E 82nd St Ste 310 Indianapolis IN 46250-1677 |
| Practice Telephone | 3175484666 |
| Practice Fax Number | 3173500059 |
| Mailing Telephone | 3175484666 |
| Mailing Fax Number | 3173500059 |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2015-08-08 |
| Authorized Official Name | DR. SRINIVASU KESA (OWNER) |
| Authorized Official Telephone | 3178507725 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200389120 | 05 |
| Other Name | Type Code |
|---|---|
| MD Medical Weightloss and Wellness Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134625007 | Midwest Wellness LLC | Counselor | 2527 S 11th St Ste 1, Niles, MI 49120-4747 | 2018-04-01 |
| 1497108468 | Midwest Wellness LLC | Internal Medicine | 6822 E 82nd St, Suite 310, Indianapolis, IN 46250-1676 | 2016-07-14 |
| Street Address |
6822 E 82ND ST STE 310 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654070 | Providence Medical Associates LLC | Clinic/Center | 1935 N Capitol Ave Ste 107, Indianapolis, IN 46202-6403 | 2020-09-18 |
| 1861757023 | Integrative Therapeutics LLC | Clinic/Center | 11074 Woods Bay Ln, Indianapolis, IN 46236-9020 | 2012-07-12 |
| 1609079607 | Jeffrey D. Wagner, Md, PC | Clinic/Center | 8040 Clearvista Pkwy Ste 570, Indianapolis, IN 46256-4673 | 2007-06-07 |
| 1457736811 | Ace Medical Services | Clinic/Center | 855 N High School Rd, Suite 5, Indianapolis, IN 46214-5701 | 2015-07-28 |
| 1679916001 | Integrated Medical Care and Nephrology LLC | Clinic/Center | 6925 Shore Ter, Indianapolis, IN 46254-4675 | 2013-04-16 |
| 1043500010 | Franciscan Saint Francis Hospitals and Health Centers | Clinic/Center | 5230 E Stop 11 Rd Ste A, Indianapolis, IN 46237-6339 | 2011-04-12 |
| 1801116223 | Neurological Care of Indiana Inc | Clinic/Center | 3500 Depauw Blvd Ste 2082, Indianapolis, IN 46268-1137 | 2010-06-08 |
| 1881875540 | Indiana Center for Health and Nutrition | Clinic/Center | 7440 N Shadeland Ave, Suite 206, Indianapolis, IN 46250-2029 | 2007-11-21 |
| 1265644397 | Indiana Spine and Pain Center Inc | Clinic/Center | 8202 Clearvista Parkway, Suite 9 E, Indianapolis, IN 46256-1457 | 2007-05-03 |
| 1770706160 | Aba Programming Inc. | Clinic/Center | 7901 E 88th St, Indianapolis, IN 46256-1235 | 2007-04-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on MIDWEST WELLNESS LLC.
| 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.