MW WELLNESS VI, LLC
NPI 1124558861
Family Medicine in Frisco, TX

NPI Status: Active since June 15, 2017

Contact Information

3500 VICTORY GROUP WAY STE 300
FRISCO, TX
ZIP 75034
Phone: (972) 381-9300
Fax: (972) 381-9301

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  • Organization
  • Family Medicine
  • CLIA Number: 45D2027816
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-01-2025

About MW WELLNESS VI, LLC

This page provides the complete NPI Profile along with additional information for Mw Wellness Vi, Llc, a primary care provider established in Frisco, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1124558861 assigned on June 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Mw Wellness Vi, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jodi Despoy (Manager)

NPI
1124558861
Provider Name
MW WELLNESS VI, LLC
Entity Type
Organization
Location Address
3500 VICTORY GROUP WAY STE 300 FRISCO, TX 75034
Location Phone
(972) 381-9300
Location Fax
(972) 381-9301
Mailing Address
3500 VICTORY GROUP WAY STE 300 FRISCO, TX 75034
Mailing Phone
(972) 381-9300
Mailing Fax
(972) 381-9301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2017
Last Update Date
06-23-2023
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A primary care provider (PCP) like Mw Wellness Vi, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JODI DESPOY

Authorized Official Title
MANAGER
Authorized Official Phone
(813) 228-6334

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2027816
Facility Type
Physician Office
Certificate Effective Date
August 02, 2023
Certificate Expiration Date
August 01, 2025
Laboratory Director
CHRIS GUY YIANTSOU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mw Wellness Vi, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124558861
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214410516812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 0 + 5 + 1 + 6 + 8 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1124558861 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669998910MS. NICKOLE TIASHEA SAULSBERRY FNP-C
Individual
Nurse Practitioner (Family)3500 VICTORY GROUP WAY STE 300
FRISCO, TX 75034
(469) 252-2028
1811751019VITALITY HEALTH PARTNERS PLLC
Organization
Family Medicine3500 VICTORY GROUP WAY STE 300
FRISCO, TX 75034
(972) 381-9300
1023850930 VANESSA M GREEN FNP-C
Individual
Nurse Practitioner (Family)3500 VICTORY GROUP WAY STE 300
FRISCO, TX 75034
(972) 381-9300
1194299222 CHRISTINE E. VARGHESE
Individual
Nurse Practitioner (Family)3500 VICTORY GROUP WAY STE 300
FRISCO, TX 75034
(972) 381-9300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124558861, enumerated in the NPI registry as an "organization" on June 15, 2017

The provider is located at 3500 Victory Group Way Ste 300 Frisco, Tx 75034 and the phone number is (972) 381-9300

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 45D2027816 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 15, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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