ROY WELLS JR. (NPI# 1215939079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215939079 |
| Entity Type | Individual |
| Full Name | ROY WELLS JR. |
| Credential | PAC |
| Practice Address |
45 Church St Swanton VT 05488-1434 |
| Mailing Address |
Po Box 235 Fairfax VT 05454-0235 |
| Practice Telephone | 8028682454 |
| Practice Fax Number | 8028682461 |
| Mailing Telephone | 8028682454 |
| Mailing Fax Number | 8028682461 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0550030649 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BCBS | 00049928 | 01 |
| VT | 0002358 | 05 |
| Street Address |
45 CHURCH ST |
| City | SWANTON |
| State | VT |
| Zip Code | 05488-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241734 | Robert Zelazo | Internal Medicine | 45 Church St, Swanton, VT 05488-1434 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013014489 | Verne L Backus | Specialist | 260 Crest Rd, Ste 101, Swanton, VT 05488 | 2006-09-20 |
| 1801224753 | Kristen E Vickers | Physician Assistant | 26 Canada St, Swanton, VT 05488 | 2013-10-30 |
| 1114142825 | Roxanne Hanson Ladabouche | Custodial Care Facility | 34 Canada St, Swanton, VT 05488-1041 | 2007-04-16 |
| 1033532346 | Giordano Manor, LLC | Custodial Care Facility | 34 Canada St, Swanton, VT 05488-1041 | 2014-01-23 |
| 1356325716 | Missisquoi Valley Rescue, Inc. | Ambulance | 120 1st St, Swanton, VT 05488-1115 | 2005-11-30 |
| 1750755252 | Northwestern Medical Center, Inc. | Pediatrics | 12 1st St, Swanton, VT 05488-1206 | 2015-11-20 |
| 1104211424 | Jevin Carruth | Dentist | 2 Spring St, Swanton, VT 05488-1329 | 2015-04-02 |
| 1558428243 | Kevin F Brown Dmd | Dentist | 2 Spring St, Swanton, VT 05488-1329 | 2007-01-02 |
| 1245254770 | Kevin Brown | Dentist | 2 Spring St, Swanton, VT 05488-1329 | 2006-07-27 |
| 1003803297 | The Richford Health Center Inc | Family Medicine | 26 Canada St, Swanton, VT 05488-1335 | 2005-10-03 |
| Find all providers in zip 05488 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218616 | Morgan R Iwema | Physician Assistant | 6049 County Road 1 1, Swanton, OH 43558-9024 | 2020-09-01 |
| 1407386634 | Jacob Morrill | Physician Assistant | 26 Canada St, Swanton, VT 05488-1335 | 2017-06-20 |
| 1801224753 | Kristen E Vickers | Physician Assistant | 26 Canada St, Swanton, VT 05488 | 2013-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639703796 | Blake Elizabeth Bohlig | Physician Assistant | 335 Tamarack Ln, Rutland, VT 05701-9501 | 2020-02-27 |
| 1831729532 | Emily Frances Swint | Physician Assistant | 106 E Allen St Unit 503, Winooski, VT 05404-2297 | 2020-01-22 |
| 1700416799 | Rachel Blair | Physician Assistant | L1 Stonehedge Dr, South Burlington, VT 05403-7320 | 2020-01-19 |
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1285295154 | Spencer Ciancola | Physician Assistant | 382 Elm St, Manchester Center, VT 05255-9655 | 2019-06-21 |
| 1114400611 | Jordan David Carr | Physician Assistant | 278 Vt 149, West Pawlet, VT 05775-9798 | 2018-09-11 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1811494669 | Kara Katherine Hankes | Physician Assistant | 325 Dorset St, South Burlington, VT 05403-6351 | 2018-04-09 |
| 1366975328 | Elizabeth G Dunbar | Physician Assistant | 228 E Harvey Farm Rd, Waterbury Center, VT 05677-7117 | 2017-04-06 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| Find all providers with the same taxonomy | ||||
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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.