Phillip R Wells (NPI# 1851394209, PAC ID# 5890685762) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1851394209 |
| PAC ID by PECOS | 5890685762 |
| Professional Enrollment ID | I20040316001105 |
| Full Name | Phillip R Wells |
| Organization Legal Name | HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE |
| Address |
675 Camino De Los Mares Suite 420 San Clemente CA 92673-2837 |
| Phone Number | 9493644361 |
| Gender | M |
| Credential | MD |
| Medical School | ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1990 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 0547211518 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050567 | MISSION HOSPITAL REGIONAL MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 26726 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-8003 | 9493644361 | HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE |
| 675 Camino De Los Mares, Suite 420, San Clemente, CA 92673-2837 | 9493644361 | HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE |
| Organization Legal Name | HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jagmeet S Mundi | Otolaryngology | Head and Neck Associates of Orange County An Incorprate | 24411 Health Ctr Dr, Suite 370, Laguna Hills, CA 92653-3687 |
| Dennis M Crockett | Otolaryngology | Head and Neck Associates of Orange County An Incorprate | 675 Camino De Los Mares, Suite 420, San Clemente, CA 92673-2837 |
| James K Bredenkamp | Otolaryngology | Head and Neck Associates of Orange County An Incorprate | 24411 Health Ctr Dr, Suite 370, Laguna Hills, CA 92653-3687 |
| Tyler Basen | Allergy/immunology | Head and Neck Associates of Orange County An Incorprate | 18 Endeavor, Suite 208, Irvine, CA 92618-3181 |
| John S Supance | Otolaryngology | Head and Neck Associates of Orange County An Incorprate | 18 Endeavor, Suite 208, Irvine, CA 92618-3181 |
| Ashley E Balaker | Otolaryngology | Head and Neck Associates of Orange County An Incorprate | 18 Endeavor, Suite 208, Irvine, CA 92618-3181 |
| Christopher F Thompson | Otolaryngology | Head and Neck Associates of Orange County An Incorprate | 26726 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-8003 |
| Geeta Venkat | Allergy/immunology | Head and Neck Associates of Orange County An Incorprate | 26726 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-8003 |
| Michael K Jakobsen | Otolaryngology | Head and Neck Associates of Orange County An Incorprate | 24411 Health Ctr Dr, Suite 370, Laguna Hills, CA 92653-3687 |
| Michael Cho | Otolaryngology | Head and Neck Associates of Orange County An Incorprate | 18 Endeavor, Suite 208, Irvine, CA 92618-3181 |
| Street Address |
675 CAMINO DE LOS MARES SUITE 420 |
| City | SAN CLEMENTE |
| State | CA |
| Zip | 92673-2837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis M Crockett | Otolaryngology | Head and Neck Associates of Orange County An Incorprate | 675 Camino De Los Mares, Suite 420, San Clemente, CA 92673-2837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William L Van Der Reis | Orthopedic Surgery | 653 Camino De Las Mares, Suite 109, Sam Clemente, CA 92673 | |
| Sandra K Wong | Physical Therapy | 660 Camino De Los Mares, San Clemente, CA 92673-1800 | |
| Jeffrey Felgner | Family Practice | Advanced Medical Home Physicians Inc | 660 Camino De Los Mares, San Clemente, CA 92673-1800 |
| Bella Darji | Nurse Practitioner | Advanced Medical Home Physicians Inc | 660 Camino De Los Mares, San Clemente, CA 92673-1800 |
| Holly K Finley | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| David W Reenders | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Megan E Parent | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Sonia D Armbruster | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Maren T George | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Burton Leland Wagner | Chiropractic | 647 Camino De Los Mares, Suite 220, San Clemente, CA 92673-2807 | |
| Find all physicians in zip 92673 | |||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SAN CLEMENTE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Phillip R Wells.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.