MW WELLNESS V, LLC
NPI 1528506730
Family Medicine in Southlake, TX

NPI Status: Active since February 08, 2017

Contact Information

1125 DAVIS BLVD STE 100
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 488-1956
Fax: (817) 488-8675

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  • Organization
  • Family Medicine
  • CLIA Number: 45D2070058
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-09-2025

About MW WELLNESS V, LLC

This page provides the complete NPI Profile along with additional information for Mw Wellness V, Llc, a primary care provider established in Southlake, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1528506730 assigned on February 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Mw Wellness V, 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 Wendie Nonclerc (Director Of Insurance Development)

NPI
1528506730
Provider Name
MW WELLNESS V, LLC
Entity Type
Organization
Location Address
1125 DAVIS BLVD STE 100 SOUTHLAKE, TX 76092
Location Phone
(817) 488-1956
Location Fax
(817) 488-8675
Mailing Address
1125 DAVIS BLVD STE 100 SOUTHLAKE, TX 76092
Mailing Phone
(817) 488-1956
Mailing Fax
(817) 488-8675
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2017
Last Update Date
03-14-2018
Code Navigator

A primary care provider (PCP) like Mw Wellness V, 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

WENDIE NONCLERC

Authorized Official Title
DIRECTOR OF INSURANCE DEVELOPMENT
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
45D2070058
Facility Type
Physician Office
Certificate Effective Date
December 10, 2023
Certificate Expiration Date
December 09, 2025
Laboratory Director
CHRIS GUY YIANTSOU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mw Wellness V, 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.

Reviews for MW WELLNESS V, LLC

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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.
1528506730
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25481001276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 0 + 0 + 1 + 2 + 7 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1528506730 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750306882 STEPHANIE SWANSON NP
Individual
Nurse Practitioner (Family)1125 DAVIS BLVD STE 100
SOUTHLAKE, TX 76092
(817) 488-1956
1720842925VITALITY HEALTH PARTNERS PLLC
Organization
Family Medicine1125 DAVIS BLVD STE 100
SOUTHLAKE, TX 76092
(817) 488-1956

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528506730, enumerated in the NPI registry as an "organization" on February 08, 2017

The provider is located at 1125 Davis Blvd Ste 100 Southlake, Tx 76092 and the phone number is (817) 488-1956

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

The provider's CLIA number is 45D2070058 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 February 08, 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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