OrganizationActive
Innovative Wellness Solutions LLC
NPI 1053735803 · Surgery Physician · Apollo, PA
Provider details
- NPI number
- 1053735803
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Debra Leonard, Credentialing Manager(412) 279-4522
- License
- MD044592E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1902 River Road
Apollo, PA 15673
Phone: (724) 478-5361
Fax: (724) 479-2930
Street-level locationGet directions
Mailing address
1902 River Road
N Apollo, PA 15673
Registry dates
- Enumerated
- 2014-02-14
- Last updated
- 2014-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.