Organization Active NPI

Mary F Wellhoner LTD a Nevada

  • Gynecology Physician
  • Reno, NV
National Provider Identifier
1861649923
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
8741 Issued in NV
Legal business name
MARY F WELLHONER LTD A NEVADA
Doing business as
WOMEN'S WELLNESS CENTER
Practice address
645 Sierra Rose Dr
Reno, NV 89511-2366
Phone
(775) 352-9355
Fax
(775) 352-3575
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Dr. Mary F Wellhoner, M.D.
Title
Owner
Phone
(775) 352-9355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 8741 NV Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

645 Sierra Rose Dr
Reno, NV 89511-2366

Mailing address

645 Sierra Rose Dr
Reno, NV 89511-2366
Phone (775) 352-9355

Other identifiers 2

IdentifierTypeStateIssuer
1467561597OtherNVINDIVIDUAL NPI
002016598MedicaidNV

Other names 1

  • WOMEN'S WELLNESS CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WWCMANAGER@WOMENSWELLNESSCENTERRENO.COM

National Provider Directory

National Provider Directory

Locations

645 Sierra Rose Dr
Reno, NV 89511
Phone (775) 352-9355

Interoperability endpoints

  • Direct secure messaging: wwcmanager@womenswellnesscenterreno.com

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": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1861649923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112366",
            "telephone_number": "775-352-9355",
            "fax_number": "775-352-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112366",
            "telephone_number": "775-352-9355",
            "fax_number": "775-352-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY F WELLHONER LTD A NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "WELLHONER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-352-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NV",
            "license": "8741",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1467561597",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016598",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WWCMANAGER@WOMENSWELLNESSCENTERRENO.COM",
            "affiliation": "N",
            "address_1": "645 Sierra Rose Dr",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895112366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WOMEN'S WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOMEN'S WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.