Individual provider Active NPI

Andrew Stephen Wellman, M.D.

  • Specialist
  • Chandler, AZ
National Provider Identifier
1952492878
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15046 Issued in AZ
Practice address
2175 N Alma School Rd
A104
Chandler, AZ 85224-2878
Phone
(480) 969-7444
Fax
(480) 969-1870
NPI assigned
Sep 27, 2006
Last updated
Jun 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15046 AZ Primary

Addresses

Primary practice location

2175 N Alma School Rd
A104
Chandler, AZ 85224-2878

Mailing address

2175 N Alma School Rd
A104
Chandler, AZ 85224-2878
Phone (480) 969-7444

Other identifiers 1

IdentifierTypeStateIssuer
26460601MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081007000506 AZ Practitioner - Orthopedic Surgery 9931173606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1952492878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 N ALMA SCHOOL RD",
            "address_2": "A104",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242878",
            "telephone_number": "480-969-7444",
            "fax_number": "480-969-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 N ALMA SCHOOL RD",
            "address_2": "A104",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242878",
            "telephone_number": "480-969-7444",
            "fax_number": "480-969-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "ANDREW",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "15046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26460601",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.