Organization Active NPI

Wellform MD PLLC

  • Health Service Clinic/Center
  • Ankeny, IA
National Provider Identifier
1841090164
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
WELLFORM MD PLLC
Practice address
2675 N Ankeny Blvd Ste 113
Ankeny, IA 50023-4719
Phone
(515) 724-9517
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Authorized official

Name
Dr. Patrick Oben, MDNPI 1255617700
Title
Medical Director
Phone
(515) 664-8049

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2675 N Ankeny Blvd Ste 113
Ankeny, IA 50023-4719

Mailing address

2675 N Ankeny Blvd Ste 113
Ankeny, IA 50023-4719
Phone (515) 724-9517

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788652800000",
    "number": "1841090164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N ANKENY BLVD STE 113",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234719",
            "telephone_number": "515-724-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N ANKENY BLVD STE 113",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234719",
            "telephone_number": "515-724-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLFORM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "OBEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "515-664-8049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; 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.