DR. WELLINGTON SHELTON TICHENOR M.D. NPI 1508871450

NPI Information

NPI: 1508871450
Provider Name: DR. WELLINGTON SHELTON TICHENOR, M.D.
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

PECOS Registration: Yes

Address:
642 PARK AVE
NEW YORK, NY
ZIP 10021
Phone: (212) 517-6611
Get Directions

DR. Wellington Shelton Tichenor, M.D. is an allergy allergy immunology in New York, NY. DR. Wellington Shelton Tichenor, M.D. NPI is 1508871450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

642 PARK AVE
NEW YORK, NY
ZIP 10021-105
Phone: (212) 517-6611
Fax: (212) 517-2132

The NPI 1508871450 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	207KA0200X	Allergy & Immunology	Allergy	127559	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B00097	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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