Active NPI
Stacey Wells MD PLLC
- Hospitalist Physician
- Houston, TX
National Provider Identifier
1053789370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- Q2410
- Legal business name
- STACEY WELLS MD PLLC
- Practice address
- 1315 St Joseph Pkwy Ste 1400
Houston, TX 77002-8237 - Phone
- (832) 617-0318
- Fax
- (833) 357-2154
- NPI assigned
- Sep 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stacey M Wells, MD
- Title
- Hospitalist
- Phone
- (678) 427-4494
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Q2410 | TX | Primary |
Addresses
Primary practice location
1315 St Joseph Pkwy Ste 1400
Houston, TX 77002-8237
Mailing address
935 Eldridge Rd PMB 307
Sugar Land, TX 77478-2809
Phone (832) 617-0318
Other practice location 1
1315 St Joseph Parkway
Suite 1102
Houston, TX 77002-8235
Phone (713) 739-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 356086401 | Medicaid | TX |
Other names 1
- Stacey Wells MD PLLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610582400000",
"number": "1053789370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 ELDRIDGE RD PMB 307",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774782809",
"telephone_number": "832-617-0318",
"fax_number": "833-357-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 ST JOSEPH PKWY STE 1400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770028237",
"telephone_number": "832-617-0318",
"fax_number": "833-357-2154"
}
],
"practiceLocations": [
{
"address_1": "1315 St Joseph Parkway",
"address_2": "Suite 1102",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770028235",
"country_code": "US",
"telephone_number": "713-739-1122",
"fax_number": "713-739-1144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STACEY WELLS MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-03",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "STACEY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "HOSPITALIST",
"authorized_official_telephone_number": "678-427-4494",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "TX",
"license": "Q2410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "356086401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stacey Wells MD PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.