Wellspring Sports Medicine and Orthopaedics, LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

39362 Issued in TN

Legal business name

WELLSPRING SPORTS MEDICINE AND ORTHOPAEDICS, LLC

Practice address

1755 Gunbarrel Rd
Suite 102
Chattanooga, TN 37421-7137

Phone

(423) 778-8598

Fax

(423) 778-8597

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Dorizas, M.D.

Title

Owner

Phone

(423) 778-8598

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1295928588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 GUNBARREL RD",
            "address_2": "SUITE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217137",
            "telephone_number": "423-778-8598",
            "fax_number": "423-778-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 GUNBARREL RD",
            "address_2": "SUITE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217137",
            "telephone_number": "423-778-8598",
            "fax_number": "423-778-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING SPORTS MEDICINE AND ORTHOPAEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "DORIZAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-778-8598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "39362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Wells, M.D.
• Deborah Ann Wells, MSN, APRN-BC
• Holly Wells, NNP
• Laura Magistro Wells, LCSW
• Mark Stephen Wells, LPC-MHSP
• Wellspring Therapy Services, LLC
• David J Wendt, MD
• Laura Beth Wendt, ANP
• Lawrence Drake Wentworth
• Agnieszka Alicja Wesolowski, MD

• Sports Medicine (Orthopaedic Surgery) Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.