Active NPI
Wayne O. Wells, M.D.
- Family Medicine Physician
- Lebanon, TN
National Provider Identifier
1861681561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19895
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.