Active NPI
Sara a. Wells, M.D., a Professional Corporation
Doing business as parleys medical
- Family Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1821225079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 953098541205
- Legal business name
- SARA A. WELLS, M.D., A PROFESSIONAL CORPORATION
- Doing business as
- parleys medical
- Practice address
- 2131 E 2100 S
Salt Lake City, UT 84109-1128 - Phone
- (801) 474-0355
- Fax
- (801) 485-8007
- NPI assigned
- Jun 15, 2009
- Organization subpart
- Yes
- Parent organization
- SARA A. WELLS, M.D. A PROFESSIONAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara A Wells, MD
- Title
- President
- Phone
- (801) 474-0355
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 953098541205 | UT | Primary |
| Primary Care Clinic/Center | 261QP2300X | 953098541205 | UT |
Addresses
Primary practice location
2131 E 2100 S
Salt Lake City, UT 84109-1128
Mailing address
2131 E 2100 S
Salt Lake City, UT 84109-1128
Phone (801) 474-0355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528395226006 | Medicaid | UT | |
| DP8219 | Other | UT | RR MEDICARE |
Other names 1
- parleys medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Sara a Wells MD a Prof Corp
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1528164621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395792000000",
"number": "1821225079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 E 2100 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841091128",
"telephone_number": "801-474-0355",
"fax_number": "801-485-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 E 2100 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841091128",
"telephone_number": "801-474-0355",
"fax_number": "801-485-8007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARA A. WELLS, M.D., A PROFESSIONAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SARA A. WELLS, M.D. A PROFESSIONAL CORPORATION",
"enumeration_date": "2009-06-15",
"last_updated": "2014-03-26",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-474-0355",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "UT",
"license": "953098541205",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "UT",
"license": "953098541205",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528395226006",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DP8219",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "parleys medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.