WELLMED MEDICAL GROUP, P.A. (NPI# 1437457710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437457710 |
| Entity Type | Organization |
| Organization Name | WELLMED MEDICAL GROUP, P.A. |
| Other Organization Name | WELLMED SENIOR CLINIC AT BEN WHITE |
| Practice Address |
706 W Ben White Blvd Suite 100 Austin TX 78704-7034 |
| Mailing Address |
8637 Fredericksburg Road, Suite 360 Attn: Director of Accounts Receivable San Antonio TX 78240-1285 |
| Practice Telephone | 5124421996 |
| Practice Fax Number | 5124421093 |
| Mailing Telephone | 2108777570 |
| Mailing Fax Number | 2106412235 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-07-28 |
| Authorized Official Name | DR. CARLOS O HERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 2108777570 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WellMed Senior Clinic at Ben White | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154629434 | Wellmed Medical Group, P.a. | Internal Medicine | 1215 Santa Fe St., Corpus Christi, TX 78404-2338 | 2011-03-10 |
| 1659679157 | Wellmed Medical Group, P.a. | Internal Medicine | 530 N Telshor Blvd Ste C, Las Cruces, NM 88011-8243 | 2011-03-08 |
| 1245538529 | Wellmed Medical Group, P.a. | Internal Medicine | 7622 Louis Pasteur Dr, Suite 100, San Antonio, TX 78229-4037 | 2011-03-10 |
| 1518265891 | Wellmed Medical Group, P.a. | Internal Medicine | 3708 Jefferson St, Suite A, Austin, TX 78731-6206 | 2011-03-10 |
| 1477851970 | Wellmed Medical Group, P.a. | Internal Medicine | 5402 Holly Rd, Suite 102, Corpus Christi, TX 78411-4645 | 2011-03-08 |
| 1194023697 | Wellmed Medical Group, P.a. | Internal Medicine | 2013 E Griffin Pkwy, Mission, TX 78572-3222 | 2011-03-08 |
| 1740588243 | Wellmed Medical Group, P.a. | Internal Medicine | 3301 S Alameda St, Suite 306, Corpus Christi, TX 78411-1882 | 2011-03-08 |
| Street Address |
706 W BEN WHITE BLVD SUITE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699757641 | Josef Edward Holme | Family Medicine | 706 W Ben White Blvd, Bldg A, Ste 100, Austin, TX 78704-7034 | 2005-11-16 |
| 1073167763 | Jamie Jones | Nurse Practitioner | 706 W Ben White Blvd, Austin, TX 78704-8124 | 2019-07-31 |
| 1699135665 | Rebecca Marquez | Occupational Therapist | 706 W Ben White Blvd, Austin, TX 78704-7034 | 2016-03-03 |
| 1598170433 | Rachel L. Cornella | Nurse Practitioner | 706 W Ben White Blvd, Bldg A, Ste 100, Austin, TX 78704-7034 | 2014-06-30 |
| 1891045654 | Amanda Christine Schmidt | Speech-Language Pathologist | 706 W Ben White Blvd, 150a, Austin, TX 78704-7034 | 2012-09-19 |
| 1871619700 | Mark M. Faulkner | Physician Assistant | 706 W Ben White Blvd, Bldg A, Ste 100, Austin, TX 78704-7034 | 2007-03-22 |
| 1720196033 | Michael Dean Martin | Internal Medicine | 706 W Ben White Blvd, Bldg A Ste 100, Austin, TX 78704-7034 | 2006-08-27 |
| 1174564447 | John Paul Drobnica | Physician Assistant | 706 W Ben White Blvd, Bldg A, Austin, TX 78704-7034 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1245847011 | Diane Brewer | Family Medicine | 309 Shant St, Austin, TX 78748-1612 | 2020-09-25 |
| 1568075265 | Agno Health, LLP | Family Medicine | 2506 South Lamar Blvd, Unit 2, Austin, TX 78704-4731 | 2020-08-24 |
| 1245853514 | Kaitlin Claire Negandhi Valentine | Family Medicine | 1400 N Ih 35 Ste C2.410, Austin, TX 78701-1926 | 2020-05-21 |
| 1548899248 | Candice Bethke Escobedo | Family Medicine | 12020 Pepperidge Dr, Austin, TX 78739-1948 | 2020-04-04 |
| 1184257123 | Aegis Health Services LLC | Family Medicine | 3005 S Lamar Blvd Ste D109-245, Austin, TX 78704-8864 | 2020-02-18 |
| 1285274100 | Mw Wellness Iv, LLC | Family Medicine | 13359 N Highway 183 Ste 403, Austin, TX 78750-7154 | 2020-01-08 |
| 1578112207 | Heather Lenz | Family Medicine | 6633 E Highway 290 Ste 300, Austin, TX 78723-1158 | 2019-09-05 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1609421247 | Maycare, Pllc | Family Medicine | 6911 Ranch Road 620 N Ste A-300, Austin, TX 78732-1920 | 2019-08-08 |
| Find all providers in AUSTIN | ||||
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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.