REGENERATIVE WELLNESS CENTER, LLC
NPI 1144694480
Family Medicine in O Fallon, MO

Active since November 24, 2015
8633 MEXICO RD, O FALLON, MO 63366(636) 272-8888(636) 272-7385 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Regenerative Wellness Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGENERATIVE WELLNESS CENTER, LLC (NPI 1144694480) is a healthcare organization registered as a family medicine in O Fallon, Missouri and active in the NPI registry since November 2015. The organization lists Michael Williams, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1144694480
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREGENERATIVE WELLNESS CENTER, LLC
Location Address8633 MEXICO RDO Fallon, MO 63366-7506
Mailing Address8633 Mexico RdO Fallon, MO 63366-7506 · (636) 272-8888 · Fax (636) 272-7385
Fax(636) 272-7385
Organization SubpartNo
Authorized OfficialMichael WilliamsAuthorized Official · (636) 272-8891
Enumeration DateNovember 24, 2015
NPI 1144694480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 2009009432
Definition

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.

8633 MEXICO RD, O Fallon, MO 63366

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
8633 MEXICO RD
O FALLON, MO 63366
Chiropractor (Sports Physician)
8633 MEXICO RD
O FALLON, MO 63366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regenerative Wellness Center, LLC's NPI number?

The NPI number for Regenerative Wellness Center, LLC is 1144694480. It was assigned to this organization in the NPPES registry on November 24, 2015.

Where is Regenerative Wellness Center, LLC located?

Regenerative Wellness Center, LLC is located at 8633 Mexico Rd, O Fallon, MO 63366. The listed phone number is (636) 272-8888.

What is Regenerative Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Regenerative Wellness Center, LLC was last updated on November 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.