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Regenerative Wellness Center, LLC

NPI 1144694480ActiveOrganization· Family Medicine· O Fallon, MO

Family Medicine in O Fallon, Missouri, registered in NPPES in November 2015. The authorized official on file is Michael Williams, Authorized Official.

Overview

NPI1144694480
StatusActive
Entity typeOrganization
NPI issuedNov 24, 2015
Last updated in NPPESNov 24, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X2009009432MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in O Fallon

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