Michael J Wells Mdpa

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

L2052 Issued in TX

Legal business name

MICHAEL J WELLS MDPA

Practice address

6100 Windhaven Pkwy
Plano, TX 75093-8046

Phone

(214) 615-1900

Fax

(214) 615-1800

NPI assigned

Jan 18, 2017

Organization subpart

No

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

Authorized official

Name

Michael J Wells, MDNPI 1790787067

Title

President

Phone

(214) 615-1900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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

• Michael J. Wells, M.D.

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
  • NPI 1790787067
  Medicare reassignment NPD Authorized official
• Gunjan M Modi, M.D.

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
  • NPI 1356589204
  NPD
• Edward L Parry, MD

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
  • NPI 1740203678
  NPD

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1265978084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WINDHAVEN PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938046",
            "telephone_number": "214-615-1900",
            "fax_number": "214-615-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WINDHAVEN PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938046",
            "telephone_number": "214-615-1900",
            "fax_number": "214-615-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J WELLS MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-615-1900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "L2052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MFT Healthcare Inc
• Michael a Deck MD PA
• Michael a Deck MD PA
• Michael C Martin MD PA
• Michael H. Bennett, PH.D.
• Michael J. Frank M.D. P-a
• Michael P Golden Mdpa
• Michael R Martin DC PC
• Michael R Seals MD, PA
• Michael S Shippy Chiropractic PA

• MOHS-Micrographic Surgery Physician in Plano, TX
• Providers in Plano, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.