OrganizationActive
Community Wellness Clinic, LLC
NPI 1154965044 · Pain Medicine Physician · Roland, OK
Provider details
- NPI number
- 1154965044
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Noel Sanger, Partner(816) 769-1680
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
707 S Roland Rd Ste 6
Roland, OK 74954-5337
Phone: (479) 221-7119
Street-level locationGet directions
Mailing address
Po Box 937
Roland, OK 74954-0937
Registry dates
- Enumerated
- 2019-11-04
- Last updated
- 2019-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.