Eden Victoria Wells, M.D., MPH

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

4301080277 Issued in MI

Practice address

333 S Grand Ave
4TH Floor Mdhhs
Lansing, MI 48933-2108

Phone

(517) 284-4020

NPI assigned

Mar 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• US Health Dept of Health & Human Services

  • Federal Public Health Clinic/Center
  • Fort Washakie, WY
  • NPI 1023174299
  NPD (past)
• US Health Dept of Health & Human Services

  • Federal Public Health Clinic/Center
  • Arapahoe, WY
  • NPI 1104976372
  NPD (past)

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1124394663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S GRAND AVE",
            "address_2": "4TH FLOOR MDHHS",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489332108",
            "telephone_number": "517-284-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S GRAND AVE",
            "address_2": "4TH FLOOR MDHHS",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489332108",
            "telephone_number": "517-284-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "EDEN",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": "4301080277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce M Weller, CSW
• Madison Abigail Wellman
• Wellness Inx
• Adrienne Marie Wells, LMSW
• Anthony Joseph Wells, PA
• Gloria Wells, LLMSW
• Kellie Marie Wells, PA
• Wellspring Physician, PC - Mi
• Sterling Nigel Wendt
• Deanna Wennberg, FNP-C

• Public Health & General Preventive Medicine Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Public Health & General Preventive Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.