Active NPI
New Wellspring LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Columbus, IN
National Provider Identifier
1932683471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- NEW WELLSPRING LLC
- Practice address
- 2400 Northpark Dr Ste 20
Columbus, IN 47203-4467 - Phone
- (812) 376-8625
- NPI assigned
- Sep 20, 2018
- Last updated
- Sep 20, 2018
- 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
- Richard Robertson, MD
- Title
- Owner/Authorized Official
- Phone
- (812) 376-0700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
2400 Northpark Dr Ste 20
Columbus, IN 47203-4467
Mailing address
2400 Northpark Dr Ste 20
Columbus, IN 47203-4467
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Columbus, IN
- NPI 1346322179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537401600000",
"number": "1932683471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 NORTHPARK DR STE 20",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472034467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 NORTHPARK DR STE 20",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472034467",
"telephone_number": "812-376-8625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW WELLSPRING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "812-376-0700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.