GARY B WELLS MD, PLLC (NPI# 1811173263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811173263 |
| Entity Type | Organization |
| Organization Name | GARY B WELLS MD, PLLC |
| Practice Address |
628 Hospital Dr Mountain Home AR 72653-2953 |
| Practice Telephone | 8704242200 |
| Mailing Telephone | 8704242200 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | DR. GARY B WELLS (OWNER) |
| Authorized Official Telephone | 8704247070 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUECROSS BLUE SHIELD | 5F917 | 01 |
| Street Address |
628 HOSPITAL DR |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894555 | Stephen C. Lattanzi | Internal Medicine | 628 Hospital Dr, Ground Floor, Suite A, Mountain Home, AR 72653-2953 | 2005-07-07 |
| 1265899363 | Baxter County Regional Hospital, Inc | Internal Medicine | 628 Hospital Dr, Suit 1 A, Mountain Home, AR 72653-2953 | 2016-01-20 |
| 1720477086 | Marcella Bobette Bramblett | Nurse Practitioner | 628 Hospital Dr, Ste E, Mountain Home, AR 72653-2953 | 2015-01-09 |
| 1386071785 | Kathleen Joy Prinner | Clinical Nurse Specialist | 628 Hospital Dr, Suite 3e, Mountain Home, AR 72653-2953 | 2013-09-30 |
| 1598030579 | Baxter County Regional Hospital Inc | Clinic/Center | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2012-03-09 |
| 1639407323 | M B Moore Md Orthopaedic Surgeon Pa | Orthopaedic Surgery | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2009-11-18 |
| 1841422003 | Aaron J Wallace, Md,pllc | Orthopaedic Surgery | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2009-08-20 |
| 1912156068 | Diana Sue Riley | Physician Assistant | 628 Hospital Dr, Suite G-c, Mountain Home, AR 72653-2953 | 2008-09-13 |
| 1013179498 | Mcbride Orthopaedics, Pllc | Orthopaedic Surgery | 628 Hospital Dr, Ground Floor, Suite D, Mountain Home, AR 72653-2953 | 2008-06-27 |
| 1447420997 | Baxter County Regional Hospital Inc | Internal Medicine | 628 Hospital Dr, Suite 3a, Mountain Home, AR 72653-2953 | 2008-03-11 |
| Find all providers in the same location | ||||
| 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 |
|---|---|---|---|---|
| 1760835649 | Gary B Wells Md Pa | Radiology | 622 Hospital Dr, Mountain Home, AR 72653-2915 | 2016-07-15 |
| 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 |
| 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.