Active NPI
Michael B Wells, D.O.
- Family Medicine Physician
- Eureka, NV
National Provider Identifier
1114909579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO1828
- Practice address
- 250 S Main St
Eureka, NV 89316-0347 - Phone
- (775) 237-5313
- Fax
- (775) 237-5073
- NPI assigned
- Nov 18, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013720 | MI | |
| Family Medicine Physician | 207Q00000X | O-0437 | ID | |
| Family Medicine Physician | 207Q00000X | DO1828 | NV | Primary |
Addresses
Primary practice location
250 S Main St
Eureka, NV 89316-0347
Mailing address
PO Box 347
250 S Main St
Eureka, NV 89316-0347
Phone (775) 237-5313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, ID, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Not Tsoo Gah Nee Indian Health | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Family Medicine | Past | Accepting new patients |
| D R Johnson, DO, PLC | Family Medicine | Past | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Family Medicine | Past | Accepting new patients |
| Michael B Wells DO PLC | Family Medicine | Past | Accepting new patients |
Locations
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1871531285
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1437279718
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1114909579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 347",
"address_2": "250 S MAIN ST",
"city": "EUREKA",
"state": "NV",
"postal_code": "893160347",
"telephone_number": "775-237-5313",
"fax_number": "775-237-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S MAIN ST",
"city": "EUREKA",
"state": "NV",
"postal_code": "893160347",
"telephone_number": "775-237-5313",
"fax_number": "775-237-5073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "MICHAEL",
"middle_name": "B",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101013720",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "O-0437",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "DO1828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.