Wellcare Solutions LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

WELLCARE SOLUTIONS LLC

Practice address

200 Wofford Rd
Taylors, SC 29687-6057

Phone

(864) 494-4848

NPI assigned

Sep 24, 2024

Organization subpart

No

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

Authorized official

Name

Matthew Coponen, MDNPI 1457116188

Title

Owner

Phone

(864) 494-4848

Specialties & licenses 1

Addresses

Other names 1

• WSL-Wellcare Solutions LLC Former legal business name

Practitioners 1

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

• Matthew Coponen, FNP

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1457116188

  Primary Care

  NPD Authorized official

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1891512414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 2M",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "718-362-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOFFORD RD",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296876057",
            "telephone_number": "864-494-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "COPONEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-494-4848",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WSL-Wellcare Solutions LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Courtney E Weber
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• Willow Tree Wellness & Therapy Inc

• Primary Care Nurse Practitioner in Taylors, SC
• Providers in Taylors, SC by specialty
• Primary Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.