WELLMED MEDICAL GROUP, P.A. (NPI# 1518265891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518265891 |
| Entity Type | Organization |
| Organization Name | WELLMED MEDICAL GROUP, P.A. |
| Other Organization Name | WELLMED SENIOR CLINIC AT MIDTOWN |
| Practice Address |
3708 Jefferson St Suite A Austin TX 78731-6206 |
| Mailing Address |
8637 Fredericksburg Road, Suite 360 Attn: Director of Accounts Receivable San Antonio TX 78240-1285 |
| Practice Telephone | 5124596503 |
| Practice Fax Number | 5124547453 |
| Mailing Telephone | 2108777570 |
| Mailing Fax Number | 2106412235 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2014-02-24 |
| 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 Midtown | 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 |
| 1437457710 | Wellmed Medical Group, P.a. | Internal Medicine | 706 W Ben White Blvd, Suite 100, Austin, TX 78704-7034 | 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 |
3708 JEFFERSON ST SUITE A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-6206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088206 | Peter Alan Nutson | Internal Medicine | 3708 Jefferson St, Ste A, Austin, TX 78731-6206 | 2005-07-27 |
| 1164855631 | Casey Anne Slusher | Physician Assistant | 3708 Jefferson St, Ste A, Austin, TX 78731-6206 | 2013-08-19 |
| 1699067439 | John J Sutton | Internal Medicine | 3708 Jefferson St, Ste A, Austin, TX 78731-6206 | 2011-05-12 |
| 1366731754 | Robert Mcguffey | Internal Medicine | 3708 Jefferson St, Ste A, Austin, TX 78731-6206 | 2011-04-06 |
| 1669615290 | Clare Son Chan | Nurse Practitioner | 3708 Jefferson St, Ste A, Austin, TX 78731-6206 | 2009-04-13 |
| 1780869685 | Leigh A Romero | Family Medicine | 3708 Jefferson St, Ste A, Austin, TX 78731-6206 | 2008-01-09 |
| 1417155805 | Fara Ranjbaran | Internal Medicine | 3708 Jefferson St, Suite A, Austin, TX 78731-6206 | 2007-07-06 |
| 1114051877 | Karen S Mccarthy | Nurse Practitioner | 3708 Jefferson St, Ste A, Austin, TX 78731-6206 | 2007-03-15 |
| 1710017488 | Srihari R. Vegiraju | Internal Medicine | 3708 Jefferson St, Ste A, Austin, TX 78731-6206 | 2007-03-06 |
| 1689680944 | Thomas P Zavaleta | Family Medicine | 3708 Jefferson St, Ste A, Austin, TX 78731-6206 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on WELLMED MEDICAL GROUP, P.A..
| 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.