NPIMap

Individual provider Active NPI

John D Wells, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Durango, CO
National Provider Identifier
1255327417
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
DR.0061470 Issued in CO
Practice address
575 Rivergate Lane
Durango, CO 81301-8130
Phone
(970) 247-3537
NPI assigned
Sep 23, 2005
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 3607 OK
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X DR.0061470 CO Primary

Addresses

Primary practice location

575 Rivergate Lane
Durango, CO 81301-8130

Mailing address

34 SW 89TH St
Oklahoma City, OK 73139-8510
Phone (405) 488-0750

Other practice location 1

34 SW 89th St
Oklahoma City, OK 73139-8510
Phone (405) 488-0750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150608002080 NM Practitioner - Emergency Medicine 0345290862 Reassigns benefits to 3 organizations
I20210415002407 CO Practitioner - Emergency Medicine 0345290862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taos Health Systems Inc Holy Cross HospitalGroup PAC ID 8224937412, shared by 2 NPIs, 40 clinicians
Animas Surgical Hospital LLCGroup PAC ID 0143295428, 61 clinicians

Practice addresses (Care Compare)

1397 Weimer Rd
Taos, NM 87571-6253
Phone (575) 751-8911

575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3607OKMDMental Health Counselor
DR.0061470COMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Durango Surgery Center LLC CurrentSince Dec 11, 2020 Accepting new patients
Taos Professional Services,LLC CurrentSince May 1, 2015 Accepting new patients
Animas Surgical Hospital, LLC CurrentSince Dec 11, 2020 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Current Accepting new patients
Taos Health Systems Inc Holy Cross Hospital CurrentSince Apr 14, 2018 Accepting new patients
Taos Health Systems Inc Holy Cross Emergency Medical Services CurrentSince Apr 14, 2018 Accepting new patients
Taos Professional Services, LLC CurrentSince May 1, 2015 Accepting new patients
Seminole Health Center LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Norstar Emergency Physicians Emergency Medical Services Past Accepting new patients
Jackson County Memorial Hospital Authority PastSince Dec 31, 2008 Accepting new patients
Emergency Services of Oklahoma PC Past Accepting new patients
South Central Emergency Services PC Past Accepting new patients

Locations

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

450 S Camino del Rio
Ste 106
Durango, CO 81301
Phone (970) 259-9311

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1255327417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398510",
            "telephone_number": "405-488-0750",
            "fax_number": "405-488-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE LANE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018130",
            "telephone_number": "970-247-3537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 SW 89th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731398510",
            "country_code": "US",
            "telephone_number": "405-488-0750",
            "fax_number": "405-488-0761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "3607",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CO",
            "license": "DR.0061470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.