Wellness Medical Practice, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WELLNESS MEDICAL PRACTICE, PLLC

Practice address

135 Grant St
Buffalo, NY 14213-1604

Phone

(716) 881-4300

Fax

(716) 881-5300

NPI assigned

Jun 12, 2006

Last updated

Oct 15, 2007By 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

Glennell R Smith, MD

Title

Owner

Phone

(716) 881-4300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1780626960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "SUITE 208",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-692-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GRANT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131604",
            "telephone_number": "716-881-4300",
            "fax_number": "716-881-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MEDICAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GLENNELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-881-4300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Ann Welgoss, LCSW, CASAC
• Andrew Joseph Welka, M.D.
• Itsamarie Welka, PHARMD
• Josephine Welliver, M.D.
• Robert Ross Welliver, MD
• Catherine Wells
• Denise M Wells, RPH
• Jennifer C. Wells, LCSW-R
• Mary Louise Wells, NURSE
• Christina Ann Welsh, SLP

• Internal Medicine Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.