Well Care Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WELL CARE MEDICAL GROUP LLC

Practice address

6330 McLeod Dr Ste 3
Las Vegas, NV 89120-4431

Phone

(747) 273-6179

NPI assigned

May 4, 2017

Organization subpart

No

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

Authorized official

Name

Mae Lueck

Title

Ceo

Phone

(747) 273-6179

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1073049367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7488 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172740",
            "telephone_number": "702-641-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 MCLEOD DR STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204431",
            "telephone_number": "747-273-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "LUECK",
        "authorized_official_first_name": "MAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-273-6179"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073049367",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Welebir, DDS
• Shawna Welfelt
• Derek Welker, RBT
• Well Care Apothecary, LLC
• Well Care Discount Pharmacy LLC
• Well Care Medical LLC
• Well Care Pharmacy I, LLC
• Well Care Pharmacy I, LLC Series a
• Well Life Outreach CDC Inc
• Well Net Telehealth PLLC

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.