DR. MICHAEL A. WELLS, M.D. - NPI NUMBER 1205838927

Summary

Provider Name: DR. MICHAEL A. WELLS, M.D.

NPI Number: 1205838927

Clasification: Obstetrics & Gynecology (207V00000X)

Organization: COVINGTON GYNECOLOGY PC

Address:
115 MEDICAL PARK DRIVE
ANDALUSIA, AL
ZIP 36420

Phone Number: (334) 222-5781



Detailed Information

DR. Michael A. Wells, M.D. is an OB/GYN physician in Andalusia, AL with 39 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. The assigned NPI number for this provider is 1205838927 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year: 1975

The provider's business address is:

115 MEDICAL PARK DRIVE
ANDALUSIA, AL
ZIP 36420
Phone: (334) 222-5781
Fax: (334) 222-5794

The enumeration date for this NPI number is 8/12/2005 and was last updated on 10/14/2011.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207V00000X Obstetrics & Gynecology 7388 AL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 102048 MEDICAID AL
2 C75083 MEDICARE UPIN AL
3 51018464 OTHER AL BLUE CROSS BLUE SHIELD
4 000018464 MEDICARE ID-TYPE UNSPECIFIED AL

NPI Record

No. Field Name Field Value
1 NPI 1205838927
2 Entity Type Code 1
3 Provider Last Name Legal Name WELLS
4 Provider First Name MICHAEL
5 Provider Middle Name A.
6 Provider Name Prefix Text DR.
7 Provider Credential Text M.D.
8 Provider First Line Business Practice Location Address 115 MEDICAL PARK DRIVE
9 Provider Business Practice Location Address City Name ANDALUSIA
10 Provider Business Practice Location Address State Name AL
11 Provider Business Practice Location Address Postal Code 36420
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 3342225781
14 Provider Business Practice Location Address Fax Number 3342225794
15 Provider Enumeration Date 8/12/2005
16 Last Update Date 10/14/2011
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 207V00000X
19 Provider License Number 1 7388
20 Provider License Number State Code 1 AL
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 102048
23 Other Provider Identifier Type Code 1 05
24 Other Provider Identifier State 1 AL
25 Other Provider Identifier 2 C75083
26 Other Provider Identifier Type Code 2 02
27 Other Provider Identifier State 2 AL
28 Other Provider Identifier 3 51018464
29 Other Provider Identifier Type Code 3 01
30 Other Provider Identifier State 3 AL
31 Other Provider Identifier Issuer 3 BLUE CROSS BLUE SHIELD
32 Other Provider Identifier 4 000018464
33 Other Provider Identifier Type Code 4 04
34 Other Provider Identifier State 4 AL
35 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.