Individual provider Active NPI

John J Wells, MD

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1043214422
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14097 Issued in AZ
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

Updated by the provider on Feb 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
22875101MedicaidAZ
110639OtherAZPIN 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000431 AZ Practitioner - Gastroenterology 4183628670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14097AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Gastroenterologists, LTD. Gastroenterology CurrentSince Jan 2, 2012 Accepting new patients
Arizona Digestive Health, PC Gastroenterology CurrentSince Jan 2, 2012 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.

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

Verify at the official NPI Registry.