Wellington Provider Group, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WELLINGTON PROVIDER GROUP, PC

Practice address

700 Milam St Ste 1300
Houston, TX 77002-2736

Phone

(859) 439-0400

NPI assigned

Nov 25, 2022

Organization subpart

Yes

Parent organization

WELLINGTON PROVIDER GROUP, PCAs reported in NPPES

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

Authorized official

Name

Brittany Dennis

Title

Credentialing Manger

Phone

(859) 518-8817

Specialties & licenses 1

Addresses

Part of

Wellington Provider Group P

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1609586197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WELLINGTON WAY STE 330",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MILAM ST STE 1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770022736",
            "telephone_number": "859-439-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON PROVIDER GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLINGTON PROVIDER GROUP, PC",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CREDENTIALING MANGER",
        "authorized_official_telephone_number": "859-518-8817"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suellen Macedo Weller
• Wellgiven Afc TX, LLC
• Lauryn Welling, PA-C
• Vanessa T Wellinghoff, MD
• Wellings Healthcare Services LLC
• James Gilbert Wellington, D.C.
• Mary Nse Wellington
• Tamara Marcia Wellington
• Jodi Wellner, RD
• Simon Wellner, R.PH.

• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.