KIMBERLY WELLS (NPI# 1114372836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114372836 |
Entity Type | Individual |
Full Name | KIMBERLY WELLS |
Credential | MD |
Practice Address |
750 E Adams St Syracuse NY 13210-2306 |
Practice Telephone | 3154645420 |
Enumeration Date | 2016-05-02 |
Last Update Date | 2019-06-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
297724 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912403874 | Kimberly Saba Wells | Occupational Therapy Assistant | 1019 N Peach Ave Apt 203, Fresno, CA 93727-2471 | 2018-03-31 |
1619328085 | Kimberly Wells | Pharmacist | 201 Earls Rd, Thomaston, GA 30286-3253 | 2016-06-28 |
1699123471 | Kimberly Wells | Registered Nurse | 519 E Brook Dr, Newaygo, MI 49337-8573 | 2016-06-02 |
1588898530 | Kimberly Jo Wells | Emergency Medicine | 1792 Alysheba Way, Suite 150, Marshall Emergency Services Associates, Lexington, KY 40509 | 2009-05-05 |
1457545907 | Kimberly Jane Wells | Social Worker | 2915-b Olney Sandy Spring Road, Olney, MD 20832-3502 | 2007-08-28 |
1629140090 | Kimberly Ann Wells | Chiropractor | 8035 Hamilton Ave, Cincinnati, OH 45231-2321 | 2006-11-14 |
1437611241 | Kimberly Elizabeth Wells | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-04-01 |
1992262570 | Kimberly Wells | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2019-03-01 |
1407350515 | Kimberly Marie Wells | Physical Therapist | 850 Baxter Blvd, Portland, ME 04103-4901 | 2018-03-22 |
1508315839 | Kimberly Wells | Nurse Practitioner | 770 W Ridge Rd, Wytheville, VA 24382-1187 | 2016-09-28 |
Street Address |
750 E ADAMS ST |
City | SYRACUSE |
State | NY |
Zip Code | 13210-2306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922003193 | Aqeel A Sandhu | Specialist | 750 E Adams St, Syracuse, NY 13210-2306 | 2005-06-15 |
1770183972 | Subhashree Dasgupta | Speech-Language Pathologist | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-27 |
1841890118 | Danielle Coniglio Gonzalez | Physical Medicine & Rehabilitation | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-27 |
1497353858 | Kayleigh M Gifford | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-16 |
1578160891 | Steven Lounsbury | Physical Therapist | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-09 |
1306453295 | Sarah Persons | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-09-25 |
1356956270 | Carlo Manalo Dangcalan | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-09 |
1104430396 | Rida Sherwani | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-03 |
1003420803 | Michel Tawil | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-08-31 |
1669085056 | Komal Syeda | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-08-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
Find all providers in zip 13210 |
Taxonomy Code | 207PP0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Pediatric Emergency Medicine |
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689013450 | Rhonda Lee Philopena | Emergency Medicine | 4900 Broad Rd 1st Fl, Syracuse, NY 13215 | 2013-06-14 |
1669616512 | Asalim A Thabet | Emergency Medicine | 4900 Braod Rd, 1st Fl, Syracuse, NY 13215 | 2009-04-22 |
1689028425 | Timothy John Bright | Emergency Medicine | 750 E Adams St, Syracuse, NY 13210-2306 | 2016-04-18 |
1215345830 | Sarah B Marsh | Emergency Medicine | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2014-07-28 |
1720425002 | Christopher Donald Delaney | Emergency Medicine | 90 Presidential Plz, University Pediatric and Adolescent Center, Syracuse, NY 13202-2240 | 2013-05-28 |
1922065150 | Peter David Sadowitz | Emergency Medicine | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700317443 | April Michelle Roma Venn | Emergency Medicine | Department of Emergency Medicine, 622 W 168th St, Vc-260, New York, NY 10032 | 2017-03-24 |
1881021046 | Linda M Bacon | Emergency Medicine | 595 Willoughby Ave, Brooklyn, NY 11206-6811 | 2013-10-02 |
1568800324 | Cloty Victoria Toro | Emergency Medicine | 11 Havenwood Rd, Staten Island, NY 10301-2718 | 2013-06-13 |
1518223973 | Linell De-silva Skeene | Emergency Medicine | 25 Dunhill Rd, New Hyde Park, NY 11040-2248 | 2012-04-10 |
1073812038 | David Michael Pinter | Emergency Medicine | 14001 Jewel Ave Apt 2, Flushing, NY 11367 | 2011-03-16 |
1306157375 | Zaira Rivera-diaz | Emergency Medicine | 3315 Rochambeau Ave Fl 2, Bronx, NY 10467-2848 | 2010-06-24 |
1558500504 | Janienne Ellen Kondrich | Emergency Medicine | 525 E 68th St # M130, New York, NY 10065-4870 | 2009-02-16 |
1780702647 | Eric Weinberg | Emergency Medicine | Lijmc-dept of Emergency Medicine - Peds Em, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2007-03-27 |
1548399173 | Susan Lee Chan | Emergency Medicine | 1167 Wantagh Ave, Wantagh, NY 11793-2136 | 2007-03-02 |
1235264516 | Wendy Rapport Graae | Emergency Medicine | 620 East Boston Post Rd, Mamaroneck, NY 10543 | 2007-02-23 |
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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.