Individual provider Active NPI

Lindsay M Wells, M.D.

  • Obstetrics & Gynecology Physician
National Provider Identifier
1689780504
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
26133 Issued in LA
Practice address
4321 Magnolia St.
New Orleans, LA 70115
UM
Phone
(504) 891-1390
Fax
(504) 891-1391
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 26133 LA Primary
Reproductive Endocrinology Physician 207VE0102X 37197 IA

Addresses

Primary practice location

4321 Magnolia St.
New Orleans, LA 70115
UM

Mailing address

4321 Magnolia St
New Orleans, LA 70115-6227
Phone (504) 891-1390

Other identifiers 1

IdentifierTypeStateIssuer
1050199MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20061211000029 LA Practitioner - Obstetrics/Gynecology 9537168083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26133LAMDObstetrics & Gynecology Physician
37197IAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Louisiana Medical Associates CurrentSince Jan 27, 2012 Accepting new patients
Audubon Labs LLC Current Accepting new patients
South Louisiana Medical Associates Obstetrics & Gynecology CurrentSince Jan 27, 2012 Accepting new patients
Audubon Fertility, LLC Past Accepting new patients
Children'S Hospital Past Accepting new patients

Locations

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

112 Picone Rd
Houma, LA 70363
Phone (985) 873-2700

4321 Magnolia St
New Orleans, LA 70115
Phone (504) 289-1390

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1689780504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 MAGNOLIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156227",
            "telephone_number": "504-891-1390",
            "fax_number": "504-891-1391"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "4321 MAGNOLIA ST.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "504-891-1390",
            "fax_number": "504-891-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "LINDSAY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "26133",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IA",
            "license": "37197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1050199",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.