Organization Active NPI

Stacey Wells MD PLLC

  • Hospitalist Physician
  • Houston, TX
National Provider Identifier
1053789370
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
Q2410 Issued in TX
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

Updated by the provider on Jan 14, 2021

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)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
356086401MedicaidTX

Other names 1

  • Stacey Wells MD PLLC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.