Organization Active NPI

Wellmed Medical Group, P.a.

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1740588243
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLMED MEDICAL GROUP, P.A.
Practice address
3301 S Alameda St
Suite 306
Corpus Christi, TX 78411-1882
Phone
(361) 852-4200
Fax
(361) 852-5304
NPI assigned
Mar 8, 2011
Organization subpart
No

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 764

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

View all 764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105000519 TX Part B Supplier - Clinic/Group Practice 4880657386 Receives reassigned benefits from 880 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations (25 of 95)

271 Paseo de Dia
Ste 1A
Las Cruces, NM 88011
Phone (575) 323-6500

3150 Matlock Rd
Ste 405
Arlington, TX 76015
Phone (817) 472-6555

706 W Ben White Blvd
Ste A100
Austin, TX 78704
Phone (512) 442-1996

1320 Art Dilly Dr
Apt 2136
Austin, TX 78702
Phone (512) 474-6836

3232 E Mlk Jr Blvd
Austin, TX 78721
Phone (512) 477-7076

1901 W William Cannon Dr
Ste 123
Austin, TX 78745
Phone (281) 676-3990

12505 Hymeadow Dr
Ste 2C
Austin, TX 78750
Phone (512) 238-0762

124 E Bandera Rd
Boerne, TX 78006
Phone (210) 650-9978

5460 Paredes Line Rd
Ste 200
Brownsville, TX 78526
Phone (956) 554-0010

800 W Jefferson St
Ste 200
Brownsville, TX 78520
Phone (956) 574-0431

800 W Jefferson St
Ste 215
Brownsville, TX 78520
Phone (956) 574-0431

524 Singing Oaks
Ste 201
Bulverde, TX 78070
Phone (830) 980-8433

2309 W State Highway 29
Burnet, TX 78611
Phone (512) 756-2784

4232 N Josey LN Ste 204
Wellmed at N Josey
Carrollton, TX 75010
Phone (972) 492-4400

1948 E Hebron Pkwy
Ste 110
Carrollton, TX 75007
Phone (972) 492-0333

105 S Main St
Cedar Hill, TX 75104
Phone (469) 272-5444

4603 Colleyville Blvd
Ste 100
Colleyville, TX 76034
Phone (817) 514-8600

2109 W Davis St
Ste C
Conroe, TX 77304
Phone (936) 446-2227

5846 Wooldridge Rd
Corpus Christi, TX 78414
Phone (361) 944-1126

5920 Saratoga Blvd
Ste 320B
Corpus Christi, TX 78414
Phone (361) 994-6400

13725 Northwest Blvd
Ste A
Corpus Christi, TX 78410
Phone (361) 387-9413

1215 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 852-9900

1101 S 19th St
Corpus Christi, TX 78405
Phone (361) 883-2815

4101 S Staples St
Corpus Christi, TX 78411
Phone (361) 883-8001

1660 S Staples St
Ste 160
Corpus Christi, TX 78404
Phone (361) 694-1498

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Dr. Carlos O Hernandez, M.D.NPI 1710984406
Title
President
Phone
(210) 877-7570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

3301 S Alameda St
Suite 306
Corpus Christi, TX 78411-1882

Mailing address

8637 Fredericksburg Rd Ste 360
Attn: Director of Accounts Receivable
San Antonio, TX 78240-1285
Phone (210) 877-7570

Other names 1

  • WellMed Doctor's Hospital Senior Clinic Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1740588243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8637 FREDERICKSBURG RD STE 360",
            "address_2": "ATTN: DIRECTOR OF ACCOUNTS RECEIVABLE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401285",
            "telephone_number": "210-877-7570",
            "fax_number": "210-641-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST",
            "address_2": "SUITE 306",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111882",
            "telephone_number": "361-852-4200",
            "fax_number": "361-852-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMED MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-877-7570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellMed Doctor's Hospital Senior Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.