MICHAEL J. WELLS M.D., NPI 1790787067
Dermatology in PLANO, TX
Last Updated on : May 26,2022
About MICHAEL J. WELLS (NPI 1790787067)
MICHAEL J. WELLS is a Dermatology provider in PLANO, United States. His medical specialization is Dermatology with a focus in MOHS-Micrographic Surgery.
1790787067 is NPI number of MICHAEL J. WELLS.
MICHAEL J. WELLS's primary taxonomy code based on NPI Lookup is 207ND0101X with license number L2052. This taxonomy code refers to Dermatology.
MICHAEL J. WELLS has more than 17 years of experience.
MICHAEL J. WELLS current practice location address is 6100 WINDHAVEN PKWY, PLANO, TX. MICHAEL J. WELLS can be reached out via phone at 972-378-0620 and via fax at 972-378-0630 .
You can also correspond with MICHAEL J. WELLS through mail at mailing address 6100 WINDHAVEN PKWY, PLANO, TX, United States. Mailing address contact number is 972-378-0620.
The enumeration date of MICHAEL J. WELLS is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.1790787067 NPI Information
Basic NPI information of MICHAEL J. WELLS (NPI 1790787067) is provided below.
| Name | MICHAEL J. WELLS |
|---|---|
| National Provider Id (NPI) | 1790787067 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | 6100 WINDHAVEN PKWY,
PLANO, TX, United States |
| Practice Telephone | 972-378-0620 |
| Practice Fax Number | 972-378-0630 |
| Mailing Address | 6100 WINDHAVEN PKWY ,
PLANO, TX, United States |
| Mailing Telephone | 972-378-0620 |
| Mailing Fax Number | 972-378-0630 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 26-May-2022 |
MICHAEL J. WELLS (NPI 1790787067) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | Dermatology, MOHS-Micrographic Surgery | L2052 | TX |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
MICHAEL J. WELLS (NPI 1790787067) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatology | L2052 | TX |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100072980A | MEDICAID (05) | OK | |
| 126640100 | MEDICAID (05) | TX | |
| 126640101 | Other (non-Medicare) (01) | TX | FirstCare Commercial |
| 143174401 | MEDICAID (05) | TX | |
| 143174403 | MEDICAID (05) | TX | |
| 201032275 | Other (non-Medicare) (01) | NM | Presbyterian Commercial |
| 201032275 | MEDICAID (05) | NM | |
| 80582S | Other (non-Medicare) (01) | TX | BC/BS |
| 84412Z | Other (non-Medicare) (01) | HMO Blue | |
| A491 | Other (non-Medicare) (01) | TriWest | |
| E3288 | MEDICAID (05) | NM |
MICHAEL J. WELLS (NPI 1790787067) Office Location
Office location of MICHAEL J. WELLS is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1164844197 | 08WISDOM PROFESSIONAL COUNSELING, PLLC | Counselor, Professional | 6309 PRESTON ROAD,
SUITE 1200 PLANO, TX, United States |
10-Jan-2014 |
| 1134520182 | 1 CP PLACE PLLC | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | PO BOX 251665,
PLANO, TX, United States |
09-Sep-2014 |
| 1083372767 | 100 CHIRO PETERSON WALFOORT, LLC | Chiropractor | 1921 PRESTON RD STE B2008,
PLANO, TX, United States |
30-Nov-2021 |
| 1043921109 | 1121 DREAM HOME | 4113 BLEVINS LN,
PLANO, TX, United States |
09-Dec-2022 | |
| 1952012122 | 1121 DREAM TRANSPORTATION | Transportation Network Company | 4113 BLEVINS LN,
PLANO, TX, United States |
08-Dec-2022 |
| 1588051395 | 14TH STREET DENTAL | Dentist, General Practice | PO BOX 674330,
DALLAS, TX, United States |
20-Apr-2015 |
| 1376839811 | 1ST CHOICE CARE FACILITY | Nursing Facility/Intermediate Care Facility | 4604 PUTNAM DR.,
PLANO, TX, United States |
23-Jun-2011 |
| 1093116873 | 20-20 EXPRESS--DALLAS LLC | Eyewear Supplier (Equipment, not the service) | 200 WEST PARKER RD.,
PLANO, TX, United States |
11-Sep-2014 |
| 1770275448 | 2020 OPTOMETRY OF GRAND PRAIRIE PLLC | Optometrist | 3200 14TH ST STE 400,
PLANO, TX, United States |
22-May-2023 |
| 1619991122 | 21ST CENTURY V.I.P. HEALTH CARE AND HOME SERVICES | Home Health | 4120 OXLEA DR,
PLANO, TX, United States |
27-Jul-2006 |
| 1750997037 | 360 HEALTH AND WELLNESS SERVICES, LLC | Physical Therapy Assistant | 1313 BRADBURY DR,
CARROLLTON, TX, United States |
22-Sep-2020 |
| 1396254934 | 361 PREMIER NEWBORN SPECIALISTS PLLC | Pediatrics, Neonatal-Perinatal Medicine | 3242 PRESTON RD,
PLANO, TX, United States |
27-Sep-2017 |
| 1730696956 | 365 SPINE CARE OF NORTH TEXAS, PLLC | Orthopaedic Surgery | 8080 INDEPENDENCE PKWY STE 230,
PLANO, TX, United States |
09-Jan-2018 |
| 1306518659 | 3A MEDICAL MANAGEMENT LLC | Clinical Medical Laboratory | 8722 N ROYAL LN,
IRVING, TX, United States |
04-Oct-2021 |
| 1871048611 | 3C NEUROSURGERY, INC. | Specialist | 5425 W SPRING CREEK PKWY,
SUITE 133 PLANO, TX, United States |
22-Aug-2016 |
| 1720249063 | 3D CLEARSITE DIAGNOSTIC IMAGING SERVICES | Clinic/Center, Radiology | 9720 COIT RD,
SUITE 240 PLANO, TX, United States |
19-Jun-2008 |
| 1033679337 | 3RDMOLAR PLLC | Dentist, General Practice | 5072 WEST PLANO PKWY #100,
PLANO, TX, United States |
22-Mar-2019 |
| 1306122593 | 3SP | Pharmacy, Community/Retail Pharmacy | 115 E SOUTH ST UNIT 1-A,
PLANO, IL, United States |
01-Nov-2011 |
| 1538105796 | 3T DIAGNOSTIC IMAGING CENTER | Clinic/Center, Radiology | 5948 W PARKER RD,
SUITE B PLANO, TX, United States |
22-Jun-2006 |
| 1538773411 | 5072020, LLC | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 2675 WINKLER AVE STE 130,
FORT MYERS, FL, United States |
08-Sep-2020 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1790787067?1790787067 is the NPI number of MICHAEL J. WELLS.
What is the specialty for MICHAEL J. WELLS?The Specialty of MICHAEL J. WELLS is Dermatology.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|