Individual provider Active NPI

Michael Wells, DO

  • Internal Medicine Physician
  • Akron, OH
National Provider Identifier
1124088125
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34006114W Issued in OH
Practice address
3593 S Arlington Rd
Suite a
Akron, OH 44312-5271
Phone
(330) 899-9070
Fax
(330) 899-0651
NPI assigned
Mar 24, 2006
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34006114W OH Primary

Addresses

Primary practice location

3593 S Arlington Rd
Suite a
Akron, OH 44312-5271

Mailing address

3515 Massillon Rd
Ste 300
Uniontown, OH 44685-7854
Phone (330) 899-9350

Other identifiers 5

IdentifierTypeStateIssuer
496OtherOHSUMMA
729766OtherOHBUCKEYE COMMUNITY HEALTH
110167391OtherOHRAILROAD MEDICARE
2027210MedicaidOH
000000132166OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060901000177 OH Practitioner - Internal Medicine 7416951504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Physicians Network IncGroup PAC ID 0648160002, 92 clinicians

Practice addresses (Care Compare)

3593 S Arlington Rd
Suite a
Akron, OH 44312-5271
Phone (330) 899-9070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34006114WOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Physicians Network Inc CurrentSince Aug 1, 2006 Accepting new patients
Traditions Hospice of Highland Heights, LLC CurrentSince Feb 20, 2023 Accepting new patients
Traditions Hospice of Highland Heights, LLC CurrentSince Feb 20, 2023 Accepting new patients
Pioneer Physicians Network, Inc. Internal Medicine CurrentSince Aug 1, 2006 Accepting new patients

Locations

3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353

3593 S Arlington Rd
Ste A
Green, OH 44312
Phone (330) 899-9070

677 Alpha Dr
Ste H
Highland Hgts, OH 44143
Phone (440) 385-2736

3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371

65 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-3680

6840 Carothers Pkwy
Ste 550
Franklin, TN 37067

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA
  • Direct secure messaging: michael.wells@ppn.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1124088125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD",
            "address_2": "STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857854",
            "telephone_number": "330-899-9350",
            "fax_number": "330-634-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3593 S ARLINGTON RD",
            "address_2": "SUITE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125271",
            "telephone_number": "330-899-9070",
            "fax_number": "330-899-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006114W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMA",
            "identifier": "496",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HEALTH",
            "identifier": "729766",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110167391",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2027210",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000132166",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.