Active NPI
Andrew Wellman MD PLLC
- Orthopaedic Surgery Physician
- Chandler, AZ
National Provider Identifier
1356998934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ANDREW WELLMAN MD PLLC
- Doing business as
- Andrew Wellman Md Pllc
- Practice address
- 2905 W Warner Rd Ste 19
Chandler, AZ 85224-1674 - Phone
- (480) 899-2101
- Fax
- (480) 899-2890
- NPI assigned
- Aug 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew S Wellman, MD
- Title
- Owner
- Phone
- (480) 899-2101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
2905 W Warner Rd Ste 19
Chandler, AZ 85224-1674
Mailing address
2925 E Riggs Rd Ste 8
Chandler, AZ 85249-3683
Phone (480) 258-0489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26406 | Medicaid | AZ |
Other names 1
- Andrew Wellman Md Pllc
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | 45CFRPart162 | Direct |
National Provider Directory
National Provider DirectoryLocations
4850 E Baseline Rd
Mesa, AZ 85206
Phone (480) 396-2781
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Mesa, AZ
- NPI 1184666216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566259200000",
"number": "1356998934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 E RIGGS RD STE 8",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852493683",
"telephone_number": "480-258-0489",
"fax_number": "480-718-7313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 W WARNER RD STE 19",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852241674",
"telephone_number": "480-899-2101",
"fax_number": "480-899-2890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW WELLMAN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-20",
"last_updated": "2019-08-20",
"status": "A",
"authorized_official_last_name": "WELLMAN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-899-2101",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26406",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "45CFRPart162",
"affiliation": "N",
"endpointDescription": "45CFRPart162",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2905 W Warner Rd Ste 19",
"city": "Chandler",
"state": "AZ",
"country_code": "US",
"postal_code": "852241674",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Andrew Wellman Md Pllc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.