WELLMED MEDICAL GROUP PA (NPI# 1487843975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487843975 |
Entity Type | Organization |
Organization Name | WELLMED MEDICAL GROUP PA |
Practice Address |
2713 Main St Ingleside TX 78362 |
Mailing Address |
225 Terlingua Portland TX 78374 |
Practice Telephone | 3617765107 |
Practice Fax Number | 3617765136 |
Mailing Telephone | 3617765101 |
Mailing Fax Number | 3617765136 |
Enumeration Date | 2007-10-19 |
Last Update Date | 2013-08-20 |
Authorized Official Name | DR. NORMAN THEODORE CRABB (DOCTOR OF OSTEOPATHIC MEDICINE) |
Authorized Official Telephone | 3617765107 |
Authorized Official Credential | D.O |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
M0044 | TX | Ambulatory Health Care Facilities |
Street Address |
2713 MAIN ST |
City | INGLESIDE |
State | TX |
Zip Code | 78362 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982683454 | Norman Crabb II | Emergency Medicine | 2713 Main St, Ingleside, TX 78362-5910 | 2006-01-12 |
1437203122 | Advanced Readjustment & Rehabilitation Centers Inc. | Social Worker | 2713 Main St, Ingleside, TX 78362-5910 | 2007-01-22 |
1871521773 | Lena L Rippstein | Nurse Practitioner | 2713 Main St, Ingleside, TX 78362-5910 | 2006-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518488535 | Elizabeth Elmore | Physical Therapy Assistant | 2246 Sunset Cliffs Dr, Ingleside, TX 78362 | 2017-06-29 |
1699910414 | Benjamin Noel Paloy Carrido | Military Health Care Provider | 2969 Atlantic Blvd Apt 115, Ingleside, TX 78362 | 2008-12-08 |
1356438295 | Mayfield Chiropractic | Chiropractor | 2168 Hwy 361, Ingleside, TX 78362 | 2006-10-10 |
1881796274 | Stanley Dee Seymour | Chiropractor | 2681 State Hwy 361, Ingleside, TX 78362 | 2006-09-05 |
1306809967 | Douglas Neil Holleman Sr. | Military Health Care Provider | Mhc Crew Inflict, Naval Station Ingleside, Ingleside, TX 78362 | 2006-04-06 |
1619944642 | Damian J Lovello | Military Health Care Provider | 1632 Ticonderoga St, Uss Heron Mhc 52, Ingleside, TX 78362 | 2006-03-08 |
1720056609 | Rudy Wilbert Arocha | Military Health Care Provider | Branch Health Clinic, 327 Coral Sea Dr. Suite 165, Ingleside, TX 78362 | 2006-03-08 |
1518479930 | Candice Nicole Miller | Nurse Practitioner | 2713 S Main St, Ingleside, TX 78362 | 2017-10-25 |
1609043777 | Jason Paul Fechner | Military Health Care Provider | 1451 Lexington Drive, Comcmron2, Ingleside, TX 78362 | 2008-05-08 |
1700090685 | Ronald Derald Fryar Jr. | Military Health Care Provider | 1451 Lexington Drive, Ingleside, TX 78362 | 2007-05-09 |
Find all providers in zip 78362 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427431329 | Ingleside Medical & Aesthetics Pllc | Clinic/Center | 2681 Hwy 361, Ingleside, TX 78362-4200 | 2015-07-09 |
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Find all providers with the same taxonomy |
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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.