Jason Edward Wells, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

236925 Issued in NY

Practice address

900 Elmgrove Road
Rochester, NY 14624-6236

Phone

(585) 426-4100

Fax

(585) 453-1462

NPI assigned

Sep 14, 2006

Last updated

Aug 3, 2012By the provider in NPPES

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 5

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

Interoperability endpoints

• Direct secure messaging: drwells@penfieldpediatrics.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Pediatrics, LLC

  dba Genesis Pediatrics

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1306943527
  NPD (past)
• Penfield Pediatrics, LLC

  • Pediatrics Physician
  • Penfield, NY
  • NPI 1629159496
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1568567287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ELMGROVE ROAD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246236",
            "telephone_number": "585-426-4100",
            "fax_number": "585-453-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ELMGROVE ROAD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246236",
            "telephone_number": "585-426-4100",
            "fax_number": "585-453-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "236925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02671121",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ROCHESTER",
            "identifier": "P020236925",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDJ047",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CHOICEE",
            "identifier": "P010236925",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7783666",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness Associates of Greater Rochester
• Wellness Quest Mental Health Counseling P.L.L.C. (Wellness Quest Counseling)
• Wellnow Urgent Care Practice, PC (WellNow Urgent Care)
• Sparkle Wells-Harvey, CASAC
• Donn Arthur Wells, M.D.
• Kazmira M Wells, LMSW
• Mary Elizabeth Wells
• Wellsprings Massage Therapy LLC
• Wellthentic Care L6 LLC
• Darlene Kay Welsh, NP

• Pediatrics Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.