Wellcare Medical Associates L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLCARE MEDICAL ASSOCIATES L.L.C.

Practice address

5061 William Flynn Hwy
Gibsonia, PA 15044-8442

Phone

(724) 444-6660

NPI assigned

Jul 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Alan Ankrom, DCNPI 1659644417

Title

President

Phone

(724) 444-6660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 5

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

• Matthew Alan Ankrom, DC

  • Chiropractor
  • Gibsonia, PA
  • NPI 1659644417
  Medicare reassignment NPD Authorized official
• Wendy Kaufer, DO

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1588756043
  Medicare reassignment NPD
• Matthew J Poremba, D.O.

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1992069082
  Medicare reassignment NPD
• Kristen Shields, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1366813446
  Medicare reassignment NPD
• Daniel Nugent, DC

  • Chiropractor
  • Durham, NC
  • NPI 1154329241
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1750798237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 WILLIAM FLYNN HWY",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448442",
            "telephone_number": "724-444-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 WILLIAM FLYNN HWY",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448442",
            "telephone_number": "724-444-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE MEDICAL ASSOCIATES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "ANKROM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-444-6660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Marie Waros, OTD, OTR/L
• Brianna Ashley Weber, LCSW
• Timothy Charles Weber, DMD
• Maureen Lynn Weckerly, MS CCC SLP
• Jeremiah David Weiland, LPC
• Taylor Wellman, OTD, OTR/L
• Wellness Partners
• Wesley Spectrum Services
• Wesley Spectrum Services
• Helena Jayne White, PHARMD

• Family Medicine Physician in Gibsonia, PA
• Providers in Gibsonia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.