Wladimir Wertelecki, MD

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

License

6855 Issued in AL

Practice address

307 University Blvd N
CC/CB 214
Mobile, AL 36688-3053

Phone

(251) 460-7500

Fax

(251) 460-3837

NPI assigned

May 26, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• University of South Alabama Health Services Foundation

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1548357916
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1386690766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-470-5842",
            "fax_number": "251-470-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 UNIVERSITY BLVD N",
            "address_2": "CC/CB 214",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366883053",
            "telephone_number": "251-460-7500",
            "fax_number": "251-460-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTELECKI",
        "first_name": "WLADIMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "AL",
            "license": "6855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00019813",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "12-10008",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51046755",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rylan Wells, NP
• Tiffany Renee Wells, LPN
• Dolan Kent Welsh, PH.D.
• Mary Catherine Welsh, PH.D.
• Weltrak MTM LLC
• Kylee Rae Wesley-Nelson
• Mari Sasiya Wesley-Nelson, RBT
• West Bay Chiropractic Center, P. C.
• West Mobile Chiropractic P.C.
• West Mobile Chiropractic Too LLC

• Clinical Genetics (M.D.) Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Genetics (M.D.) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.