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WELLCARE PHYSICIANS GROUP LLC NPI 1558567636


NPI Information

NPI: 1558567636
Provider Name: WELLCARE PHYSICIANS GROUP LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5901 MONCLOVA RD
MAUMEE, OH
ZIP 43537
Phone: (419) 891-8024
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WELLCARE PHYSICIANS GROUP LLC is a family medicine in Maumee, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WELLCARE PHYSICIANS GROUP LLC NPI is 1558567636. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5901 MONCLOVA RD
MAUMEE, OH
ZIP 43537-841
Phone: (419) 891-8024

The provider's authorized official is Kerry Burmeister .
The authorized official title is Administrative Director, Finance and has the following contact phone number (419) 891-8024.

The enumeration date for this NPI number is 6/25/2007 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineOHIONo
2207Q00000XFamily Medicine89211OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12842704MEDICAIDOHIO

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: 4/28/2024

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