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WELLNESSMD @ ACAC LLC NPI 1396932323


NPI Information

NPI: 1396932323
Provider Name: WELLNESSMD @ ACAC LLC
Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
406 ALBEMARLE SQ
CHARLOTTESVILLE, VA
ZIP 22901
Phone: (434) 817-4280
Get Directions

WELLNESSMD @ ACAC LLC is a sports medicine family medicine in Charlottesville, VA. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. WELLNESSMD @ ACAC LLC NPI is 1396932323. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

406 ALBEMARLE SQ
CHARLOTTESVILLE, VA
ZIP 22901-472
Phone: (434) 817-4280
Fax: (434) 817-4281

The provider's authorized official is Phil G Wendel .
The authorized official title is Owner and has the following contact phone number (434) 974-9890.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 4/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS0010XFamily MedicineSports MedicineVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C10038OTHERGROUP PTAN
2G70485MEDICARE UPINVIRGINIA
300X553W38OTHERINDIVIDUAL TPAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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