Individual provider Active NPI

Patricia A Wells, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Saline, MI
National Provider Identifier
1992892269
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
062273 Issued in MI
Practice address
1235 Industrial Dr
Suite 1
Saline, MI 48176-1741
Phone
(734) 944-8000
Fax
(734) 944-8008
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 062273 MI Primary
Internal Medicine Physician 207R00000X 4301062273 MI
Pediatrics Physician 208000000X 4301062273 MI

Addresses

Primary practice location

1235 Industrial Dr
Suite 1
Saline, MI 48176-1741

Mailing address

1235 Industrial Dr
Suite 1
Saline, MI 48176-1741
Phone (734) 944-8000

Other identifiers 2

IdentifierTypeStateIssuer
PW062273OtherMIBLUE SHIELD
104442341MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070412000496 MI Practitioner - Pediatric MedicinePractitioner - Emergency MedicinePractitioner - Internal Medicine 0648375014 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
062273MIMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epmg of Michigan, P.C. CurrentSince Mar 21, 2021 Accepting new patients

Locations

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1992892269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 INDUSTRIAL DR",
            "address_2": "SUITE 1",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761741",
            "telephone_number": "734-944-8000",
            "fax_number": "734-944-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 INDUSTRIAL DR",
            "address_2": "SUITE 1",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761741",
            "telephone_number": "734-944-8000",
            "fax_number": "734-944-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "062273",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301062273",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301062273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "PW062273",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104442341",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.