Gary B Wells MD PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

N7796 Issued in AR

Legal business name

GARY B WELLS MD PA

Practice address

622 Hospital Dr
Mountain Home, AR 72653-2915

Phone

(870) 424-2200

Fax

(870) 424-6616

NPI assigned

Jul 15, 2016

Last updated

Jul 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary B Wells, MDNPI 1104879964

Title

President

Phone

(870) 424-2200

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Gary B Wells, M.D.

  • Radiation Oncology Physician
  • Mountain Home, AR
  • NPI 1104879964
  Authorized official Same address or phone

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1760835649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532915",
            "telephone_number": "870-424-2200",
            "fax_number": "870-424-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532915",
            "telephone_number": "870-424-2200",
            "fax_number": "870-424-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY B WELLS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-424-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "AR",
            "license": "N7796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Elizabeth Gardner, QBHP
• William R Garner, CRNA
• Deanna Lyn Garretson, D.C.
• Phillip Kyle Garretson, D.C.
• Traci Renee Garringer, LCSW
• Gary B Wells MD, PLLC
• Isaac Gaston, APRN
• Gates Prosthetics & Mobility Clinic Co
• Heather Nichole Gavette, AT
• General Orthopaedics, PA

• Radiation Oncology Physician in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Radiation Oncology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.