INNOVATIVE HEALTH LLC (NPI# 1689988495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689988495 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE HEALTH LLC |
| Practice Address |
2114 Schofield Ave Weston WI 54476-2365 |
| Practice Telephone | 7153554224 |
| Practice Fax Number | 7153554120 |
| Mailing Telephone | 7153554224 |
| Mailing Fax Number | 7153554120 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | KEVIN E RITZENTHALER (CHIROPRACTOR) |
| Authorized Official Telephone | 7153554224 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 3727 | WI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174755359 | Innovative Health LLC | Nurse Practitioner | 501 Marshall St Ste 605, Jackson, MS 39202-1650 | 2009-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Innovative Health LLC | 1490-5a Quarterpath Road, Williamsburg, Virginia 23185 |
| Street Address |
2114 SCHOFIELD AVE |
| City | WESTON |
| State | WI |
| Zip Code | 54476-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750336186 | Reva R Draeger | Chiropractor | 2114 Schofield Ave, Weston, WI 54476-2365 | 2006-05-24 |
| 1750815031 | Cody Hansen | Chiropractor | 2114 Schofield Ave, Weston, WI 54476-2365 | 2017-04-13 |
| 1720027907 | James S Shebuski | Chiropractor | 2114 Schofield Ave, Weston, WI 54476-2365 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093822041 | Juan B Martinez Jr. | Clinic/Center | 2233 N Commerce Pkwy Ste 2, Weston, FL 33326-3252 | 2006-08-24 |
| 1992336655 | Mchs Hospitals, Inc. | Clinic/Center | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2020-01-31 |
| 1518216316 | Meryl Brandwein Nutrition | Clinic/Center | 916 Gulfstream Ct, Weston, FL 33327-2139 | 2012-09-07 |
| 1700116084 | Aspirus Wausau Hospital Inc | Clinic/Center | 4005 Community Center Dr, Weston, WI 54476-4139 | 2010-01-08 |
| 1306019898 | Elliot Cintron Enterprises Pa | Clinic/Center | 1875 N Corporate Lakes Blvd, Suite300, Weston, FL 33326-3270 | 2008-04-07 |
| 1265648000 | Aspirus Clinics, Inc | Clinic/Center | 4005 Community Center Dr, Suite 202, Weston, WI 54476-4139 | 2007-05-16 |
| 1609950070 | Aspirus Clinics, Inc. | Clinic/Center | 3402 Howland Ave, Suite 100, Weston, WI 54476-5633 | 2006-10-24 |
| 1720177371 | Aspirus Clinics, Inc. | Clinic/Center | 4005 Community Center Dr, Weston, WI 54476-4139 | 2006-10-12 |
| 1215953823 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-07-15 |
| 1215989298 | Cleveland Clinic Florida A Non Profit Corporation | Clinic/Center | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2006-05-17 |
| Find all providers in WESTON | ||||
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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.