Active NPI
John J Wells, MD
- Specialist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 14097
- Practice address
- 3815 E Bell Rd
Ste 1250
Phoenix, AZ 85032-2122 - Phone
- (602) 493-3030
- Fax
- (602) 493-0064
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 14097 | AZ | Primary |
Addresses
Primary practice location
3815 E Bell Rd
Ste 1250
Phoenix, AZ 85032-2122
Mailing address
3020 E Camelback Rd
Suite 301
Phoenix, AZ 85014-5095
Phone (602) 264-9100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22875101 | Medicaid | AZ | |
| 110639 | Other | AZ | PIN NUMBER FOR OUT PATIEN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14097 | AZ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Gastroenterologists, LTD. | Gastroenterology | Current | Accepting new patients |
| Arizona Digestive Health, PC | Gastroenterology | Current | Accepting new patients |
Locations
5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717
9327 N 3rd St
#306
Phoenix, AZ 85020
Phone (602) 279-2064
9250 N 3rd St
Ste 2015
Phoenix, AZ 85020
Phone (602) 562-3010
9250 N 3rd St
Ste 4035
Phoenix, AZ 85020
Phone (602) 279-3575
3020 E Camelback Rd
Ste 301
Phoenix, AZ 85016
3707 N 7th St
Ste 200
Phoenix, AZ 85014
Phone (602) 264-9100
9327 N 3rd St
#306508
Phoenix, AZ 85020
Phone (602) 749-1912
3815 E Bell Rd
Ste 1250
Phoenix, AZ 85032
Phone (602) 493-3030
9327 N 3rd St
Ste 306
Phoenix, AZ 85020
Phone (602) 279-3575
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1992981583
-
- Gastroenterology Physician
- Phoenix, AZ
- NPI 1982626693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1043214422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 E CAMELBACK RD",
"address_2": "SUITE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145095",
"telephone_number": "602-264-9100",
"fax_number": "602-264-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 E BELL RD",
"address_2": "STE 1250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322122",
"telephone_number": "602-493-3030",
"fax_number": "602-493-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "14097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22875101",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN NUMBER FOR OUT PATIEN",
"identifier": "110639",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.