Active NPI
Hawey Adolphus Wells Jr., M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Key Largo, FL
National Provider Identifier
1942545538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 08411
- Practice address
- 3 Rainbow Dr
Key Largo, FL 33037-3207 - Phone
- (305) 453-5382
- Fax
- (305) 453-5382
- NPI assigned
- Dec 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 08411 | WV | Primary |
Addresses
Primary practice location
3 Rainbow Dr
Key Largo, FL 33037-3207
Mailing address
853 Comstock Dr
Shepherdstown, WV 25443-3642
Phone (304) 671-5531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08411 | Other | WV | WEST VIRGINIA BOARD OF MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08411 | WV | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1942545538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 COMSTOCK DR",
"city": "SHEPHERDSTOWN",
"state": "WV",
"postal_code": "254433642",
"telephone_number": "304-671-5531",
"fax_number": "305-453-5382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RAINBOW DR",
"city": "KEY LARGO",
"state": "FL",
"postal_code": "330373207",
"telephone_number": "305-453-5382",
"fax_number": "305-453-5382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "HAWEY",
"middle_name": "ADOLPHUS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-07",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WV",
"license": "08411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VIRGINIA BOARD OF MEDICINE",
"identifier": "08411",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Key Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.