GARY B WELLS MD PA (NPI# 1760835649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760835649 |
| Entity Type | Organization |
| Organization Name | GARY B WELLS MD PA |
| Practice Address |
622 Hospital Dr Mountain Home AR 72653-2915 |
| Practice Telephone | 8704242200 |
| Practice Fax Number | 8704246616 |
| Mailing Telephone | 8704242200 |
| Mailing Fax Number | 8704246616 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | GARY B WELLS (PRESIDENT) |
| Authorized Official Telephone | 8704242200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
N7796 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
622 HOSPITAL DR |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376643536 | Pullatikurthi Pradeep Kumar | Radiology | Corner of Lamont and Sydney, Mountain Home, TN 37684-4000 | 2006-09-25 |
| 1104879964 | Gary B Wells | Radiology | 624 Hospital Drive, Mountain Home, AR 72653-2915 | 2006-05-19 |
| 1811173263 | Gary B Wells Md, Pllc | Radiology | 628 Hospital Dr, Mountain Home, AR 72653-2953 | 2008-01-16 |
| 1629171921 | Gollakota Satya Rekha | Radiology | James H. Quillen Va Medical Center, #114 R Radiation Oncology, Mountain Home, TN 37684-4000 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499074 | White River Health System, Inc. | Radiology | 525 Virginia Dr, Batesville, AR 72501-7331 | 2019-07-22 |
| 1184011470 | Michael Earl May Jr. | Radiology | 8901 Carti Way Ste 400, Little Rock, AR 72205-6523 | 2015-04-24 |
| 1831509330 | Gary D Lewis | Radiology | 4301 W Markham St # 771, Little Rock, AR 72205-7101 | 2014-05-06 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1669742433 | Northpoint Radiation Center Gp LLC | Radiology | 2526 Pinnacle Hills Pkwy, Rogers, AR 72758-8939 | 2012-01-10 |
| 1104125616 | South Arkansas Rt Associates LLC | Radiology | 503 Thompson Ave, El Dorado, AR 71730-4555 | 2011-03-23 |
| 1871825612 | Robert C. Landgren | Radiology | 37 Pinehurst Cir, Little Rock, AR 72212-3432 | 2010-02-04 |
| 1437383726 | Alvah J Nelson IIi | Radiology | 12105 Fairway Dr, Little Rock, AR 72212-3428 | 2009-05-14 |
| 1962641639 | William F Richards Md Plc | Radiology | 1522 N Division St, Blytheville, AR 72315-1448 | 2009-02-19 |
| 1275793457 | Walter Ducote Haynes | Radiology | 12800 County Farm Road, Little Rock, AR 72223 | 2008-06-11 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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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.