John W Wells Jr., MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

ME 39415 Issued in FL

Practice address

3599 University Blvd S
BLDG 100, Suite 104
Jacksonville, FL 32216-4252

Phone

(904) 391-1100

Fax

(904) 391-1109

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Cancer Services of Aventura LLC

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1790973063
  NPD (past)
• Memorial Southside Cancer Center LLC

  • Radiation Oncology Clinic/Center
  • Jacksonville, FL
  • NPI 1588724033
  NPD (past)
• North Florida Cancer Center Live Oak LLC

  • Radiation Oncology Physician
  • Live Oak, FL
  • NPI 1730176215
  NPD (past)
• Physicians for a Community United for Research and Education LLC

  • Nuclear Medicine Physician
  • Tallahassee, FL
  • NPI 1770721466

  Radiation Oncology

  NPD (past)
• Physicians for a Community United for Research and Education LLC

  • Radiation Oncology Physician
  • Brandon, FL
  • NPI 1891099032
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1275524431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19675",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322459675",
            "telephone_number": "904-309-8680",
            "fax_number": "904-345-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "BLDG 100, SUITE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-391-1100",
            "fax_number": "904-391-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME 39415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53630",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O42404800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "208063",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00199547",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Wells, LMHC
• Jana Elizabeth Wells, PT, DPT
• Jason T Wells, PA-C
• Jeannie Wells, MPT
• Jeffrey Kyle Wells
• Kimberly Wells, ITDS
• Lea Wells, BCBA
• Makayla Earl Wells
• Marvin C Wells, D.M.D.
• Meredith Lindsey Wells, PTA

• Radiation Oncology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.