Active NPI
Gary Steven Wells, MD
- Nephrology Physician
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 18737
- Practice address
- 988 Oak Ridge Turnpike
Suite 320
Oak Ridge, TN 37830-6936 - Phone
- (865) 482-6790
- Fax
- (865) 482-6706
- NPI assigned
- Nov 13, 2006
- Last updated
- Jan 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 18737 | TN | Primary |
Addresses
Primary practice location
988 Oak Ridge Turnpike
Suite 320
Oak Ridge, TN 37830-6936
Mailing address
988 Oak Ridge Turnpike
Suite 320
Oak Ridge, TN 37830-6936
Phone (865) 482-6790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3031986 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070823000174 | TN | Practitioner - Nephrology | 0547352429 | Practice locations: Harriman, TN; Oak Ridge, TN; Lafollette, TN; Knoxville, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18737 | TN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bio-Medical Applications of Tennessee, Inc. | Past | Accepting new patients | |
| Bio-Medical Applications of Tennessee, Inc. | Past | Accepting new patients | |
| Pathology Laboratories West PLLC | Past | Accepting new patients | |
| Bio-Medical Applications of Tennessee, Inc. | Past | Accepting new patients | |
| Bio-Medical Applications of Tennessee, Inc. | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba FMC Dialysis Services Oak Ridge
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Oak Ridge, TN
- NPI 1407968225
-
dba FMC Dialysis Services Roane County
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Harriman, TN
- NPI 1598877318
-
dba Fresenius Kidney Care Knight Arnold Road Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1720718554
-
dba Fresenius Medical Care Lafollette
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- La Follette, TN
- NPI 1982716700
-
- Clinical Medical Laboratory
- Knoxville, TN
- NPI 1679738934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1669543328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TURNPIKE",
"address_2": "SUITE 320",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306936",
"telephone_number": "865-482-6790",
"fax_number": "865-482-6706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TURNPIKE",
"address_2": "SUITE 320",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306936",
"telephone_number": "865-482-6790",
"fax_number": "865-482-6706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "GARY",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "18737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3031986",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.