MARK A WELLS (NPI# 1558344952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558344952 |
| Entity Type | Individual |
| Full Name | MARK A WELLS |
| Credential | PA |
| Practice Address |
2400 Hartman Ln Ste 100 Springfield OR 97477-1119 |
| Mailing Address |
55 Coburg Rd Slocum Orthopedics PC Eugene OR 97401-2433 |
| Practice Telephone | 5413343350 |
| Practice Fax Number | 5417464569 |
| Mailing Telephone | 5414858111 |
| Mailing Fax Number | 5418680883 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00800 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00800 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710491444 | Mark Kilby Wells | Optometrist | 598 Airport Blvd Ste 700, Morrisville, NC 27560-7205 | 2017-11-16 |
| 1497905061 | Mark Wells | Nurse Practitioner | 1275 S Main St Ste 103, Greensburg, PA 15601-5385 | 2008-09-19 |
| 1932319316 | Mark Aaron Wells | Internal Medicine | 4545 R St Ste 100, Lincoln, NE 68503-3799 | 2007-05-23 |
| 1922124346 | Mark Steven Wells | Chiropractor | 11615 Beltsville Dr, Beltsville, MD 20705-3145 | 2007-03-21 |
| 1063567550 | Mark Stephen Wells | Counselor | 1037 Florence Ave, Colorado Springs, CO 80905-3544 | 2007-01-24 |
| 1033217112 | Mark H Wells | Podiatrist | 17 Indian Rock Shopping Center, Suffern, NY 10901 | 2006-09-20 |
| 1821060849 | Mark Lee Wells | Physician Assistant | 800 W 18th St, Suite 130, Edmond, OK 73013-3758 | 2006-02-03 |
| 1992281075 | Mark A Wells | Dentist | 1950 S Narcoossee Rd, Saint Cloud, FL 34771-7204 | 2018-07-12 |
| 1609370949 | Mark Julian Wells | Pediatrics | 700 Childrens Dr, Columbus, OH 43205 | 2018-03-21 |
| 1154648509 | Mark Steven Wells | Counselor | 945 S Rochester Rd, Ste 101, Rochester Hills, MI 48307-2762 | 2010-04-26 |
| Street Address |
2400 HARTMAN LN STE 100 |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253290 | Parker-leigh Evans | Nurse Practitioner | 2400 Hartman Ln Ste 100, Springfield, OR 97477-1119 | 2019-09-09 |
| 1609130269 | Cameron E Derbyshire | Physician Assistant | 2400 Hartman Ln Ste 100, Springfield, OR 97477-1119 | 2012-06-28 |
| 1144544248 | Jessica Catherine Lloyd | Urology | 2400 Hartman Ln Ste 100, Springfield, OR 97477-1119 | 2010-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123289 | Jared Anthony Dias | Physician Assistant | 52 Devens St, Springfield, MA 01151-2304 | 2020-04-16 |
| 1659990976 | Maham Siddiqui | Physician Assistant | 8632 Hillside Manor Dr, Springfield, VA 22152-2238 | 2020-04-16 |
| 1558994772 | Kayla Rice | Physician Assistant | 3640 Main St Ste 103, Springfield, MA 01107-1139 | 2020-02-17 |
| 1487286563 | Michayla Marcil | Physician Assistant | 280 Chestnut St Fl 2, Springfield, MA 01199-1001 | 2020-02-06 |
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1023670593 | Michael Peter Lembotesis | Physician Assistant | 629 Evans Rd, Springfield, PA 19064-3033 | 2019-07-03 |
| 1245795558 | Alexandra Marie Cutler | Physician Assistant | 1437 S Gelven Ave, Springfield, MO 65804-2124 | 2019-01-31 |
| 1598265894 | Kelsey L. Magill | Physician Assistant | 3231 S National Ave Ste 440, Springfield, MO 65807-7304 | 2018-02-14 |
| 1447759592 | Darrell Dewain Edwards | Physician Assistant | 4350 S National Ave Ste C200, Springfield, MO 65810-2782 | 2018-02-05 |
| 1164930087 | Ashley Jean Nichole Leutze | Physician Assistant | 1164 E Home Rd Ste J, Springfield, OH 45503-2726 | 2018-01-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on MARK A WELLS.
| 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.