Wellness Physician Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WELLNESS PHYSICIAN CARE PLLC

Practice address

727 Washington St
Watertown, NY 13601-4031

Phone

(315) 785-7009

Fax

(315) 785-8566

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Edmund J Roache, M.D.NPI 1780636704

Title

Owner

Phone

(315) 785-7009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• QuikMed Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edmund J Roache, M.D.

  • Internal Medicine Physician
  • Watertown, NY
  • NPI 1780636704
  Medicare reassignment Care Compare group NPD Authorized official
• Carrie A Guga, RPA-C

  • Physician Assistant
  • Watertown, NY
  • NPI 1023062445
  Medicare reassignment Care Compare group NPD
• Paige Lillian Herbst, PA

  • Physician Assistant
  • Fort Carson, CO
  • NPI 1851110902

  NY

  Medicare reassignment Care Compare group NPD
• Milagros C Smith, P.A.

  • Medical Physician Assistant
  • Watertown, NY
  • NPI 1154327161
  Medicare reassignment Care Compare group
• Phyl McClure, FNP-BC

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1194107086
  Medicare reassignment NPD
• Carly R Draper, CDN, RD

  • Registered Dietitian
  • Carthage, NY
  • NPI 1619290095
  Medicare reassignment

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1114979598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010091",
            "telephone_number": "315-782-4207",
            "fax_number": "315-782-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014031",
            "telephone_number": "315-785-7009",
            "fax_number": "315-785-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHYSICIAN CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "ROACHE",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-785-7009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02779344",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QuikMed Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Anne Welch
• Angela Marie Weldon, L.M.T.
• Ashlee Anne Weldon
• Well Speak Speech Therapy, PLLC
• Megan Weller, DPT
• Wellnow Urgent Care, P.C.
• Michelle Wells, LMSW
• Lindsey Wencl, PT, DPT
• Wer Yellow Cab Inc. of Watertown Ny
• Brandy M West Bey

• Internal Medicine Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.