Wellpoint Medical PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WELLPOINT MEDICAL PC

Practice address

4680 Cordata Pkwy
Bellingham, WA 98226-8038

Phone

(845) 360-2552

NPI assigned

Nov 5, 2026

Last updated

Nov 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dithi Shetty

Title

President

Phone

(845) 360-2552

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1793836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793836800000",
    "number": "1538068333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59 STE 103",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 CORDATA PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268038",
            "telephone_number": "845-360-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPOINT MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-05",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "DITHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-360-2552",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Leona Welch, MD
• Lanea Welch, LMT
• Matthew Welch
• Scott Robert Welker, OTRL
• Cori Jean Welle, M.A,, CCC-SLP
• Donna M Wells, CDP
• Jessica Norman Wells, PH.D.
• June Carole Wells
• Wellsource Counseling LLC
• Anne P. Welsh, M.D.

• General Practice Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.