Individual provider Active NPI

Gary Steven Wells, MD

  • Nephrology Physician
  • Oak Ridge, TN
National Provider Identifier
1669543328
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
18737 Issued in TN
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3031986MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070823000174 TN Practitioner - NephrologyPractitioner - Internal Medicine 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

LicenseStateTypeSpecialty
18737TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bio-Medical Applications of Tennessee, Inc. PastSince Dec 22, 2020 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. PastSince Dec 22, 2020 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.

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

Verify at the official NPI Registry.