Organization Active NPI

Wayne O. Wells, M.D.

  • Family Medicine Physician
  • Lebanon, TN
National Provider Identifier
1861681561
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19895 Issued in TN
Legal business name
WAYNE O. WELLS, M.D.
Practice address
1420 W Baddour Pkwy Ste 130
Lebanon, TN 37087-1510
Phone
(615) 443-0730
Fax
(615) 443-0722
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Wayne O. Wells, M.D.
Title
Owner
Phone
(615) 443-0730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 19895 TN Primary

Addresses

Primary practice location

1420 W Baddour Pkwy Ste 130
Lebanon, TN 37087-1510

Mailing address

PO Box 98
Lebanon, TN 37088-0098
Phone (615) 443-0730

National Provider Directory

National Provider Directory

Locations

1420 W Baddour Pkwy
Ste 130
Lebanon, TN 37087
Phone (615) 443-0730

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1861681561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370880098",
            "telephone_number": "615-443-0730",
            "fax_number": "615-443-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W BADDOUR PKWY STE 130",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871510",
            "telephone_number": "615-443-0730",
            "fax_number": "615-443-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE O. WELLS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-443-0730",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "19895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.