WHOLE HEALTH MEDICAL GROUP OHIO PROF CORP (NPI# 1619286044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619286044 |
| Entity Type | Organization |
| Organization Name | WHOLE HEALTH MEDICAL GROUP OHIO PROF CORP |
| Other Organization Name | HEALTH FOR LIFE CENTER |
| Practice Address |
2111 Ne 25th Ave Jf5-1 Mailstop Jf167 Hillsboro OR 97124-5961 |
| Mailing Address |
5500 Maryland Way Brentwood TN 37027-4948 |
| Practice Telephone | 5032648315 |
| Practice Fax Number | 5037124523 |
| Mailing Telephone | 8888304255 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2015-07-23 |
| Authorized Official Name | JAMES THIEL (OWNER) |
| Authorized Official Telephone | 6154686548 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Health For Life Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700161528 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 11401 N Congress Ave, Kansas City, MO 64153-1473 | 2011-10-12 |
| 1063770196 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2012-04-26 |
| 1093098204 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 2501 Nw 229th Ave, Hillsboro, OR 97124-5506 | 2011-09-23 |
| 1104114529 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 100 W Burton St, Murfreesboro, TN 37130-3657 | 2011-07-19 |
| 1710281472 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 142 S Van Buren Ave, Barberton, OH 44203-3543 | 2011-01-10 |
| Street Address |
2111 NE 25TH AVE JF5-1 MAILSTOP JF167 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-5961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518484153 | Kendyll Renee Woods | Nurse Practitioner | 2111 Ne 25th Ave, Ms: Jf5-167, Hillsboro, OR 97124-5961 | 2017-08-24 |
| 1275968596 | Joshua Hamilton Lohnes | Massage Therapist | 2111 Ne 25th Ave, Hillsboro, OR 97124-5961 | 2013-09-05 |
| 1528402849 | Patricia Lynne Sayre | Massage Therapist | 2111 Ne 25th Ave, Hillsboro, OR 97124-5961 | 2013-04-18 |
| 1275892978 | Chelsea Warren | Dietitian, Registered | 2111 Ne 25th Ave, Hillsboro, OR 97124-5961 | 2012-05-15 |
| 1457622904 | Keri A Needles | Massage Therapist | 2111 Ne 25th Ave, Hillsboro, OR 97124-5961 | 2012-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649710179 | Phenix Health | Clinic/Center | 5825 Nw Pinefarm Pl, Suite B, Hillsboro, OR 97124-8563 | 2017-03-02 |
| 1528499845 | Health First Family Medicine, LLC | Clinic/Center | 2975 Sw Cornelius Pass Rd, Suite A, Hillsboro, OR 97123-6601 | 2013-12-12 |
| 1124128327 | Cascade Internal Medicine LLC | Clinic/Center | 730 Se Oak Street, Suite G Cascade Internal Medicine, Hillsboro, OR 97123 | 2006-09-25 |
| 1326142480 | Healthsource of Ohio, Inc. | Clinic/Center | 1108 Northview Drive, Suite 1, Hillsboro, OH 45133-8591 | 2006-09-11 |
| 1255824264 | Wellness By Design, LLC | Clinic/Center | 1049 Sw Baseline St Ste D490, Hillsboro, OR 97123-3857 | 2018-06-13 |
| 1275061681 | Pacific Nw Family Practice, Limited Liability Company | Clinic/Center | 256 Se 2nd Ave, Hillsboro, OR 97123-4017 | 2017-05-30 |
| 1407383730 | Pearl Integrative Medicine LLC | Clinic/Center | 620 Se Oak St Ste E, Hillsboro, OR 97123-4160 | 2017-05-17 |
| 1093098204 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 2501 Nw 229th Ave, Hillsboro, OR 97124-5506 | 2011-09-23 |
| 1942508411 | Vanessa Sanne Rn Cfnp LLC | Clinic/Center | 527 Se Baseline St, Suite G, Hillsboro, OR 97123-4149 | 2011-03-08 |
| 1043427966 | Primary Health Partners, Inc. | Clinic/Center | 1275 N High St, Hillsboro, OH 45133-8273 | 2007-05-17 |
| Find all providers in HILLSBORO | ||||
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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.