NPIMap

Organization Active NPI

Wellmed Medical Group PA

  • Primary Care Clinic/Center
  • Ingleside, TX
National Provider Identifier
1487843975
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M0044 Issued in TX
Legal business name
WELLMED MEDICAL GROUP PA
Practice address
2713 Main St
Ingleside, TX 78362
Phone
(361) 776-5107
Fax
(361) 776-5136
NPI assigned
Oct 19, 2007
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Dr. Norman Theodore Crabb, D.ONPI 1982683454
Title
Doctor of Osteopathic Medicine
Phone
(361) 776-5107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M0044 TX Primary

Addresses

Primary practice location

2713 Main St
Ingleside, TX 78362

Mailing address

225 Terlingua
Portland, TX 78374
Phone (361) 776-5101

National Provider Directory

National Provider Directory
Tax ID family
Tower Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/WELLMED

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1487843975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 TERLINGUA",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "78374",
            "telephone_number": "361-776-5101",
            "fax_number": "361-776-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 MAIN ST",
            "city": "INGLESIDE",
            "state": "TX",
            "postal_code": "78362",
            "telephone_number": "361-776-5107",
            "fax_number": "361-776-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMED MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "CRABB",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "DOCTOR OF OSTEOPATHIC MEDICINE",
        "authorized_official_telephone_number": "361-776-5107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M0044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ingleside, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.