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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 16 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

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

Primary Taxonomy Code Clasification License Number License State
Y 207ND0101X Dermatology, MOHS-Micrographic Surgery L2052 TX

MICHAEL J. WELLS (NPI 1790787067) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 207N00000X Dermatology L2052 TX

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
070015644 MEDICARE ID-Type Unspecified (04) TX Railroad
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
562160zy2 MEDICARE UPIN (02) TX
80582S Other (non-Medicare) (01) TX BC/BS
84412Z Other (non-Medicare) (01) HMO Blue
87632J MEDICARE ID-Type Unspecified (04) TX
A491 Other (non-Medicare) (01) TriWest
E3288 MEDICAID (05) NM
H35166 MEDICARE UPIN (02) TX

MICHAEL J. WELLS (NPI 1790787067) Office Location

Providers in same location

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1619412525 KATIE A GROSSART Speech-Language Pathologist, 916 CANHAM ST,
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1013064138 SAROOR ALAM Internal Medicine 1200 W SOUTH ST,
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1699248880 ALEXIA HEAVEN OROSCO Behavior Technician 415 SWEETBRIAR ST,
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1972254621 SHRENIK D SHAH Pharmacist 702 BROUGHAM LN,
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1417000894 PLANO COMMUNITY UNIT SCHOOL DISTRICT #88 Local Education Agency (LEA) 800 S HALE ST,
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1427648617 CHARIOTS OF WISDOM, LLC Non-emergency Medical Transport (VAN) 3414 CLASON ST,
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1023161940 WILLIAM YAW-NTAAKU ASIHENE Surgery 12700 US HIGHWAY 34,
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1477017721 CONNECTIONS THROUGH MOBILE Taxi PO BOX 344,
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1821337494 KARRIE LYNN DRENT Behavior Analyst 3222 HOFFMAN ST,
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1659025872 YASMINE SALGADO Behavior Technician 245 W ROOSEVELT RD STE 103,
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07-Feb-2022
1003560228 DIANA DEWAARD Behavior Technician 245 W ROOSEVELT RD STE 103,
WEST CHICAGO, IL, United States
07-Feb-2022
1902550122 JACQUELINE LOCASTO Behavior Technician 245 W ROOSEVELT RD STE 103,
WEST CHICAGO, IL, United States
07-Feb-2022
1366801904 EILEEN MARTINEZ Social Worker, Clinical 719 EBERLY CT,
PLANO, IL, United States
10-Feb-2016
1033864335 DANEITA BLALOCK Doula 3414 CLASON ST,
PLANO, IL, United States
15-Feb-2022
1932792009 KIPNGETICH N KORIR Registered Nurse, Medical-Surgical 1067 VERMILLION ST,
PLANO, IL, United States
18-Feb-2021
1699801449 MATTHEW RICHARD KUEBRICH Pharmacist 57 STAINFIELD DR,
PLANO, IL, United States
26-Feb-2007
1215398565 SARA DUFFY Behavior Analyst 913 RACHEL CT,
PLANO, IL, United States
15-Mar-2016
1417088352 JANA NEBEL Massage Therapist 34 JACK ST,
PLANO, IL, United States
09-Mar-2007
1861524233 NANCY LYNN REILAND Occupational Therapist 2009 BITTERSWEET DR,
PLANO, IL, United States
12-Mar-2007
1730211764 MELVIN ANTHONY BOULE Dentist, General Practice 1879 ASTER DR,
YORKVILLE, IL, United States
13-Mar-2007

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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