Wellspring Family Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101044787 Issued in VA

Legal business name

WELLSPRING FAMILY MEDICAL CENTER

Practice address

648 Independence Pkwy
Suite 300
Chesapeake, VA 23320-5206

Phone

(757) 312-0166

Fax

(757) 312-8116

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nathan L Riles Jr., M.D.

Title

Doctor

Phone

(757) 312-0166

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosabel C. Manalo, M.D.

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1194762229
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730304742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 INDEPENDENCE PKWY",
            "address_2": "SUITE 300",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205206",
            "telephone_number": "757-312-0166",
            "fax_number": "757-312-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 INDEPENDENCE PKWY",
            "address_2": "SUITE 300",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205206",
            "telephone_number": "757-312-0166",
            "fax_number": "757-312-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "757-312-0166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101044787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101044787",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Well Clinic Pediatrics & Family Medicine PC
• Kidada Wellington
• Wellness & Balance LLC
• Wellness Healthcare Services LLC
• Michele Wells, LMT
• Carly Welsh, CCC-SLP
• Ashley Elizabeth Welty, APRN, FNP-C
• Richard Wertheimer, M.D.
• Candice West, RN
• David J West, MD

• General Practice Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.