Organization Active NPI

Andrew Wellman MD PLLC

  • Orthopaedic Surgery Physician
  • Chandler, AZ
National Provider Identifier
1356998934
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Aug 20, 2019

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
26406MedicaidAZ

Other names 1

  • Andrew Wellman Md Pllc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL 45CFRPart162 Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.