ANTHONY SHANE WELLS (NPI# 1124205505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124205505 |
| Entity Type | Individual |
| Full Name | ANTHONY SHANE WELLS |
| Credential | A.T.,C. |
| Practice Address |
12340 State Route 104 Waverly OH 45690-8968 |
| Practice Telephone | 7407031283 |
| Practice Fax Number | 7409415163 |
| Mailing Telephone | 7407031283 |
| Mailing Fax Number | 7409415163 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1068 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356697031 | Anthony Orlando Wells | Psychologist | 221 Albemarle Ave Sw, Roanoke, VA 24016-4716 | 2012-07-31 |
| 1467774984 | Anthony Joseph Wells | Physician Assistant | 1540 Lake Lansing Rd, Suite G02, Lansing, MI 48912-3756 | 2010-02-25 |
| 1316164221 | Anthony Wells | Dentist | 1311 Kimber Ln, Evansville, IN 47715-4024 | 2007-04-20 |
| Street Address |
12340 STATE ROUTE 104 |
| City | WAVERLY |
| State | OH |
| Zip Code | 45690-8968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437176286 | Harry T Kittaka | Family Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2006-07-17 |
| 1003351024 | Carie Lynn Johnson | Registered Nurse | 12340 State Route 104, Waverly, OH 45690-8968 | 2016-12-29 |
| 1518306646 | Melissa Castellano Flores | Nurse Practitioner | 12340 State Route 104, Waverly, OH 45690-8968 | 2013-06-21 |
| 1174869572 | Angelina Aileen Hardiesty-kelley | Registered Nurse | 12340 State Route 104, Waverly, OH 45690-8968 | 2012-12-13 |
| 1710164686 | Adena Health System | Clinic/Center | 12340 State Route 104, Waverly, OH 45690-8968 | 2008-01-23 |
| 1811174832 | Adena Health System | Family Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2008-01-22 |
| 1962682351 | Justin W Smith | Internal Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2007-11-14 |
| 1255475349 | Amy Leigh Mcnaughton | Nurse Practitioner | 12340 State Route 104, Waverly, OH 45690-8968 | 2007-02-20 |
| 1811915978 | Scott E Howard | Family Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
| 1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
| 1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
| Find all providers in zip 45690 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710481544 | Michael Carroll | Specialist/Technologist | 8170 Denver Rd, Waverly, OH 45690-9535 | 2018-03-19 |
| 1801280540 | Andrew Toy | Specialist/Technologist | 14731 Oak Ln, Waverly, NE 68462-1552 | 2015-03-19 |
| 1427382696 | Mandi Jo Drees | Specialist/Technologist | 313 24th St Nw, Apt 9, Waverly, IA 50677-1829 | 2009-09-21 |
| 1154357036 | Paul A Scheuch Jr. | Specialist/Technologist | 517 Clinton St, Waverly, PA 18471-0350 | 2006-06-23 |
| 1770197634 | Jessica Ann Albright | Specialist/Technologist | 100 Wartburg Blvd, Waverly, IA 50677-2215 | 2020-09-08 |
| 1578171294 | Rachel Hannah Cassens | Specialist/Technologist | 312 9th St Sw, Waverly, IA 50677-2929 | 2020-07-20 |
| 1538721394 | Shelby Marie Reiter | Specialist/Technologist | 312 9th St Sw, Waverly, IA 50677-2929 | 2019-07-02 |
| 1295124659 | Emily Link | Specialist/Technologist | 100 Wartburg Blvd, Waverly, IA 50677-0903 | 2015-01-22 |
| 1144469545 | Tracy Jo Steffen | Specialist/Technologist | 100 Wartburg Blvd, Dept. of Athletics - Wartburg College, Waverly, IA 50677-2215 | 2009-02-10 |
| 1710125455 | Samantha Lucille Radel | Specialist/Technologist | 100 Wartburg Blvd, Department of Athletics-wartburg College, Waverly, IA 50677-2215 | 2009-02-03 |
| Find all providers in WAVERLY | ||||
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| 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.