Organization Active NPI

Murray I Wellner, MDPC

  • Internal Medicine Physician
  • West Hartford, CT
National Provider Identifier
1558632828
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
018806 Issued in CT
Legal business name
MURRAY I WELLNER, MDPC
Practice address
10 Dale St
West Hartford, CT 06107-1815
Phone
(860) 521-9451
Fax
(860) 232-2793
NPI assigned
Jan 19, 2012
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Dr. Murray Wellner, M.D.NPI 1508887290
Title
Owner
Phone
(860) 521-9451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 018806 CT Primary

Addresses

Primary practice location

10 Dale St
West Hartford, CT 06107-1815

Mailing address

10 Dale St
West Hartford, CT 06107-1815
Phone (860) 521-9451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120131000262 CT Part B Supplier - Clinic/Group Practice 9436316650 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: West Hartford, CT

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Murray I Wellner MD PC2 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.

Locations

10 Dale St
West Htfd, CT 06107
Phone (860) 233-3339

Practitioners & affiliated clinicians

Practitioners 2

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": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1558632828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DALE ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071815",
            "telephone_number": "860-521-9451",
            "fax_number": "860-232-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DALE ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071815",
            "telephone_number": "860-521-9451",
            "fax_number": "860-232-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY I WELLNER, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "WELLNER",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-521-9451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "018806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.