Wellcare of Ohio, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

WELLCARE OF OHIO, INC.

Practice address

6060 Rockside Woods Blvd N
Ste 300
Independence, OH 44131-7303

Phone

(866) 507-1407

NPI assigned

May 22, 2008

Organization subpart

Yes

Parent organization

WELLCARE HEALTH PLANS, INC.As reported in NPPES

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

Authorized official

Name

Michael Haber

Title

VP & Secretary

Phone

(813) 206-1490

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1871750208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143",
            "telephone_number": "813-290-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 ROCKSIDE WOODS BLVD N",
            "address_2": "STE 300",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441317303",
            "telephone_number": "866-507-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE OF OHIO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLCARE HEALTH PLANS, INC.",
        "enumeration_date": "2008-05-22",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "813-206-1490"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00002659476",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00002690413",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Weisfelder, LISW-S
• Judith H Weiss, MD
• Robert A Weiss, MD
• Lisa Danielle Welcher, FNP
• Wellbe Senior Medical Ohio LLC
• Jay S Weller, MD
• Wellness Iq, Inc.
• Natalie R Welsh
• Bryan West
• Western Reserve Plastic Surgery

• Health Maintenance Organization in Independence, OH
• Providers in Independence, OH by specialty
• Health Maintenance Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.