Active NPI
Steven Wells, MD
- Family Medicine Physician
- Ashland, OR
National Provider Identifier
1124062054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD20003
- Practice address
- 534 Washington St
Ashland, OR 97520-1682 - Phone
- (541) 203-0737
- NPI assigned
- Jun 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD20003 | OR | Primary |
Addresses
Primary practice location
534 Washington St
Ashland, OR 97520-1682
Mailing address
534 Washington St
Ashland, OR 97520-1682
Phone (541) 203-0737
Other practice location 1
3617 S Pacific Hwy
Medford, OR 97501-8957
Phone (541) 535-6239
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022868 | Medicaid | OR | |
| 94-3096772 | Other | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1124062054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 WASHINGTON ST",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201682",
"telephone_number": "541-203-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 WASHINGTON ST",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201682",
"telephone_number": "541-203-0737"
}
],
"practiceLocations": [
{
"address_1": "3617 S Pacific Hwy",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975018957",
"country_code": "US",
"telephone_number": "541-535-6239",
"fax_number": "541-535-4377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD20003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022868",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "94-3096772",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.