DR. WILLIAM JACOB WELLER (NPI# 1013278084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013278084 |
Entity Type | Individual |
Full Name | DR. WILLIAM JACOB WELLER |
Credential | M.D. |
Practice Address |
7545 Airways Blvd Southaven MS 38671-5806 |
Mailing Address |
1400 S Germantown Rd Germantown TN 38138-2205 |
Practice Telephone | 9017593100 |
Mailing Telephone | 9017593100 |
Mailing Fax Number | 9017593196 |
Enumeration Date | 2012-06-06 |
Last Update Date | 2020-11-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 57285 | TN | Allopathic & Osteopathic Physicians |
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
57285 | TN | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
8000 Centerview Pkwy Ste 500, Cordova, TN 380184254 | 9017593100 | |
1211 Union Ave Ste 500, Memphis, TN 381046656 | 9017593100 | |
1458 W Poplar Ave Ste 100, Collierville, TN 380170630 | 9017593100 | |
7545 Airways Blvd, Southaven, MS 386715806 | 9017593100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245304062 | William Wofford Weller | Dentist | 1614 W Lafayette Ave, Jacksonville, IL 62650-1000 | 2006-11-20 |
Street Address |
7545 AIRWAYS BLVD |
City | SOUTHAVEN |
State | MS |
Zip Code | 38671-5806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699761387 | Gregory D Dabov | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2005-09-27 |
1104431485 | Jacob Cole Lee | Physician Assistant | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2020-09-13 |
1710421946 | Bobbi Mcwhinney | Specialist/Technologist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2016-12-07 |
1083023675 | Jerrica Thomas | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-08-07 |
1477960490 | Tanya Mcfadden | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-22 |
1093122145 | Jennifer Dixon Brown | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-21 |
1730596883 | Margaret Kedia | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-21 |
1407263056 | Marie Joyce Barron | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-15 |
1962757740 | Danielle L Johnson | Physician Assistant | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2012-07-18 |
1700176203 | Benjamin West Sheffer | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2011-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
Find all providers in zip 38671 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598045775 | Elvis Jeff Justis Jr. | Orthopaedic Surgery | 710 Longmeadow Drive, Oxford, MS 38655 | 2011-08-19 |
1386632560 | Chris Phillip Ethridge | Orthopaedic Surgery | 1325 E Fortification St, Jackson, MS 39202-2442 | 2005-10-11 |
1194725374 | William Bennett Geissler | Orthopaedic Surgery | 1410 E Woodrow Wilson Ave, Ste D, Jackson, MS 39216-5114 | 2005-07-28 |
1225060056 | Aubrey Lucas | Orthopaedic Surgery | 2550 Flowood Dr, Suite 200, Flowood, MS 39232-9303 | 2006-07-06 |
1255360186 | Constantine P Charoglu | Orthopaedic Surgery | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2006-07-02 |
1942239090 | Rocco A Barbieri | Orthopaedic Surgery | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2006-07-01 |
1770571002 | Sheila G Lindley | Orthopaedic Surgery | 2500 North State Street, Orthopaedic Surgery, Jackson, MS 39216 | 2005-10-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.