NPIMap

Organization Active NPI

Wellmed Medical Group, P.a.

Doing business as WellMed Doctor's Hospital Senior Clinic

  • 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.
Doing business as
WellMed Doctor's Hospital Senior Clinic
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
Last updated
Feb 24, 2014By the provider in NPPES
Organization subpart
No

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 Physician 207Q00000X Primary
Internal Medicine Physician 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

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

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory

Locations (25 of 92)

530 N Telshor Blvd
Ste C
Las Cruces, NM 88011
Phone (575) 215-3389

1540 W Interstate 20
Arlington, TX 76017
Phone (817) 472-6555

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

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

13376 Research Blvd
Ste 110
Austin, TX 78750
Phone (512) 219-0129

165 Hargraves Dr
Ste S100
Austin, TX 78737
Phone (737) 243-7756

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

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

124 E Bandera Rd
Ste 102
Boerne, TX 78006
Phone (830) 816-2312

201 W 5th St
Bonham, TX 75418
Phone (903) 583-4700

5700 N Expressway
Ste 307
Brownsville, TX 78526
Phone (956) 350-4788

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

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

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

316 W Belt Line Rd
Ste 100
Cedar Hill, TX 75104
Phone (972) 291-7181

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

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

1521 S Staples St
Ste 300
Corpus Christi, TX 78404
Phone (361) 694-1498

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

3022 McKinzie Rd
Corpus Christi, TX 78410
Phone (361) 241-6700

3434 Saratoga Blvd
Bldg 2
Corpus Christi, TX 78415
Phone (361) 985-9355

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

11255 Garland Rd
Ste 1130
Dallas, TX 75218
Phone (214) 575-7668

11255 Garland Rd
Ste 19
Dallas, TX 75218
Phone (972) 682-5757

Practitioners & affiliated clinicians

Practitioners 875

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 875

NPI Registry JSON

The complete NPPES 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": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_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.