DR. KEVIN MICHAEL WELLS (NPI# 1154765733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154765733 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MICHAEL WELLS |
| Credential | MD |
| Practice Address |
2806 E 29th St Bryan TX 77802-2601 |
| Practice Telephone | 9797768330 |
| Practice Fax Number | 9797749157 |
| Mailing Telephone | 9797768330 |
| Mailing Fax Number | 9797749157 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
R9889 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588027965 | Kevin Wells | Psychiatry & Neurology | 100 Metroplex Dr Ste 200, Edison, NJ 08817-2684 | 2016-04-01 |
| 1841293834 | Kevin Wells | Dentist | 793 Lynnfield St, Lynn, MA 01904-1033 | 2005-05-23 |
| 1982140463 | Kevin Wells | Counselor | 4130 Lindell Blvd, Saint Louis, MO 63108-2914 | 2017-01-09 |
| 1891988192 | Kevin W Wells | Counselor | 187 W Broad St, Spartanburg, SC 29306-3234 | 2007-08-21 |
| 1154447977 | Kevin Dale Wells | Emergency Medicine | 17304 Preston Rd, Suite 555, Dallas, TX 75252-5618 | 2007-03-22 |
| 1194809178 | Kevin W Wells | Optometrist | 4012 Commons Dr W, Ste 110, Destin, FL 32541-8422 | 2006-10-25 |
| 1104874007 | Kevin M Wells | Chiropractor | 795 Crestview Cir Nw, Port Charlotte, FL 33948-2126 | 2006-05-04 |
| Street Address |
2806 E 29TH ST |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074844 | Derek Peter Kuhl | Ophthalmology | 2806 E 29th St, Bryan, TX 77802-2601 | 2005-06-22 |
| 1457406662 | Ashley Halbert Risner | Optometrist | 2806 E 29th St, Bryan, TX 77802-2601 | 2007-01-25 |
| 1922006246 | Retina Center P A | Ophthalmology | 2806 E 29th St, Bryan, TX 77802-2601 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328932 | Elshatory Retina Associates, Pllc | Ophthalmology | 3900 American Dr Ste 103, Plano, TX 75075-6188 | 2020-08-29 |
| 1780294629 | Retina Consultants of Houston Pllc | Ophthalmology | 10907 Memorial Hermann Dr Ste 450, Pearland, TX 77584-4115 | 2020-08-05 |
| 1790393106 | Retina Research Center, Pllc | Ophthalmology | 3705 Medical Pkwy Ste 420, Austin, TX 78705-1023 | 2020-07-21 |
| 1386087443 | Abdualrahman Hamad | Ophthalmology | 2727 Gramercy St Ste 200, Houston, TX 77025-1716 | 2013-04-09 |
| 1174857429 | Enrique Eduardo Calderon | Ophthalmology | 2501 Rr 620 S Ste 130, Lakeway, TX 78734 | 2009-09-18 |
| 1265546170 | Courtney Maurice Crawford | Ophthalmology | 2780 Sw Wilshire Blvd, Burleson, TX 76028-8338 | 2006-08-18 |
| 1033183561 | Austin Retina Associates | Ophthalmology | 1180 Seton Pkwy Ste 200, Kyle, TX 78640-6179 | 2006-02-13 |
| 1114999828 | Austin Retina Associates | Ophthalmology | 801 W 38th St Ste 200, Austin, TX 78705-1169 | 2006-02-06 |
| 1265423107 | Keith Denton Fisher | Ophthalmology | 909 9th Avenue, #404, Fort Worth, TX 76104-3918 | 2005-10-31 |
| 1518576487 | Courtney Crawford Md Pllc | Ophthalmology | 2780 Sw Wilshire Blvd, Burleson, TX 76028-8338 | 2020-07-27 |
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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.