KENNETH A WELLS (NPI# 1053314682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053314682 |
| Entity Type | Individual |
| Full Name | KENNETH A WELLS |
| Credential | ORT |
| Practice Address |
3334 Capital Medical Blvd Ste 100 Tallahassee FL 32308-4470 |
| Mailing Address |
3334 Capital Medical Blvd Ste 400 Tallahassee FL 32308-8405 |
| Practice Telephone | 8508778174 |
| Practice Fax Number | 8508775636 |
| Mailing Telephone | 8508778174 |
| Mailing Fax Number | 8508775636 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2011-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | 000066 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 222Z00000X | Orthotist | ORT44 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 409058070A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164727798 | Kenneth P Wells | Counselor | 1589 Steeple Dr, Suffolk, VA 23433-1615 | 2011-01-12 |
| 1023161080 | Kenneth Beckett Wells | Counselor | 15627 E Centipede Dr, Fountain Hills, AZ 85268-1530 | 2007-01-20 |
| 1346335551 | Kenneth Douglas Wells | Preventive Medicine | !001 Louisiana, Suite 1047, Houston, TX 77021 | 2006-10-04 |
| 1467437624 | Kenneth Wells | Podiatrist | 286 Euclid Ave, Suite 204, San Diego, CA 92114-3610 | 2005-12-10 |
| 1992989974 | Kenneth Ray Wells | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2007-12-26 |
| 1659550051 | Kenneth Alan Wells | Massage Therapist | 14780 Sw Osprey Dr, Suite 350, Beaverton, OR 97007-8028 | 2007-11-01 |
| 1720090657 | Kenneth Wells | Psychiatry & Neurology | 300 Medical Plz, Los Angeles, CA 90095-0001 | 2006-08-12 |
| 1770593618 | Kenneth Wayne Wells | Psychiatry & Neurology | 943 N Church St, Psychiatric Associates of Spartanburg, Spartanburg, SC 29303-2712 | 2006-08-09 |
| 1629097506 | Kenneth Wells | Family Medicine | 20 Southwest Ave, Jamestown, RI 02835-1120 | 2006-07-19 |
| 1891722831 | Kenneth Lewis Wells | Specialist/Technologist | 1500 Oglethorpe Ave, Suite 500b, Athens, GA 30606-2179 | 2006-06-26 |
| Street Address |
3334 CAPITAL MEDICAL BLVD STE 100 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970589 | David Christian Berg | Orthopaedic Surgery | 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-8405 | 2005-05-24 |
| 1932731684 | Shane Thomas Stockelman | Internal Medicine | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2020-02-11 |
| 1750913794 | Stephen C Mchargue | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2020-02-07 |
| 1639642572 | Ross Scavo | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2019-01-03 |
| 1659887891 | Jennifer Baxter | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308 | 2017-12-26 |
| 1730503798 | Keshia Arrington | Specialist/Technologist | 3334 Capital Medical Blvd, Suite 100, Tallahassee, FL 32308-8405 | 2014-02-11 |
| 1447682687 | Eric D Bernstein | Physical Therapy Assistant | 3334 Capital Medical Blvd, 300, Tallahassee, FL 32308-8405 | 2013-07-30 |
| 1356681050 | Megan C Milton | Nurse Practitioner | 3334 Capital Medical Blvd, Ste 400, Tallahassee, FL 32308-8405 | 2013-02-18 |
| 1235413949 | Jared Ryan Johnson | Physician Assistant | 3334 Capital Medical Blvd, Suite 400, Tallahassee, FL 32308-8405 | 2011-09-30 |
| 1821379124 | Lauren K Snider | Physical Therapist | 3334 Capital Medical Blvd, Suite 300, Tallahassee, FL 32308-8405 | 2011-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619391802 | Mark Gibson | Orthotist | 3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470 | 2014-02-10 |
| 1063415693 | Eric Ramcharran | Orthotist | 3334 Capital Medical Blvd, Ste 100, Tallahassee, FL 32308-8405 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874786 | Matthew Etan Gruskin | Orthotist | 1071 Ne 83rd St, Miami, FL 33138-4137 | 2019-01-03 |
| 1710474333 | Dana Schack | Orthotist | 2300 Se 17th St Ste 401, Ocala, FL 34471-9140 | 2018-04-19 |
| 1912406950 | Prosthetics Clinic of Florida, LLC | Orthotist | 5651 Gulf Dr Ste 4, New Port Richey, FL 34652-4019 | 2018-02-05 |
| 1740797901 | Olaf M Holm | Orthotist | 812 W Mlk Blvd Ste 100, Tampa, FL 33603-3338 | 2018-01-09 |
| 1366983405 | Brett Richard Saunders | Orthotist | 761 Highway 466, Lady Lake, FL 32159-6340 | 2017-03-08 |
| 1598159329 | Michael Mcdowell | Orthotist | 590 Solutions Way Ste 100, Rockledge, FL 32955-3623 | 2015-03-18 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1487051991 | Lori Vanderhoof | Orthotist | 2939 Martin Luther King Jr Blvd, Panama City, FL 32405-4411 | 2014-11-26 |
| 1770984106 | Nathaniel Sterling Hampson | Orthotist | 2425 Pelican Bay Ct, Panama City Beach, FL 32408-7053 | 2014-09-04 |
| 1083939789 | Herbert George Smith Jr. | Orthotist | 4109 Little Rd, Suite 102, Trinity, FL 34655-1715 | 2010-04-06 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on KENNETH A WELLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.