Wellspine,P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J6872 Issued in TX

Legal business name

WELLSPINE,P.A.

Practice address

12655 N Central Expy Ste 650
Dallas, TX 75243-1770

Phone

(214) 819-9600

Fax

(214) 819-9601

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Amanda Thompson Wier

Title

Administrator

Phone

(214) 819-9600

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 5

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

• Jimmy Dee Baugh II, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1508065855
  NPD (past)
• Kyle Lamar Gummelt, D.O.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1689964215
  NPD (past)
• Michelle May Ho, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1487682118
  NPD (past)
• Steve K Lau, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1841395837
  NPD (past)
• Elisabeth Anne Tilleros, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1437252947
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1902086879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 WESTCHESTER DR",
            "address_2": "SUITE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256103",
            "telephone_number": "214-819-9600",
            "fax_number": "214-819-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 N CENTRAL EXPY STE 650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431770",
            "telephone_number": "214-819-9600",
            "fax_number": "214-819-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPINE,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "WIER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-819-9600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J6872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awier@wellspinepa.com",
            "affiliation": "N",
            "endpointDescription": "admin email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12655 N Central Expy Ste 650",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752431770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reeder Wells
• Rodney Wells
• Sarah Ann Feuerbacher Wells, PH.D., LCSW-S
• Shamekia Wells, APRN
• Wellspine Monitoring, PLLC
• Wellspring Senior Care LLC
• Brian David Welsh, M.D.
• Jeffrey Welskopf, MA, LPC-INTERN
• Kimberly Rose Welter, MD
• Marisol Wences

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.