MICHAEL J. WELLS (NPI# 1790787067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790787067 |
| Entity Type | Individual |
| Full Name | MICHAEL J. WELLS |
| Credential | M.D. |
| Practice Address |
6100 Windhaven Pkwy Plano TX 75093 |
| Mailing Address |
6100 Windhaven Pkwy Plano TX 75093-8046 |
| Practice Telephone | 9723780620 |
| Practice Fax Number | 9723780630 |
| Mailing Telephone | 9723780620 |
| Mailing Fax Number | 9723780630 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | L2052 | TX | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
L2052 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 126640100 | 05 | |
| TX | 143174403 | 05 | |
| TRIWEST | A491 | 01 | |
| NM | E3288 | 05 | |
| NM | PRESBYTERIAN COMMERCIAL | 201032275 | 01 |
| TX | 143174401 | 05 | |
| HMO BLUE | 84412Z | 01 | |
| NM | 201032275 | 05 | |
| OK | 100072980A | 05 | |
| TX | FIRSTCARE COMMERCIAL | 126640101 | 01 |
| TX | BC/BS | 80582S | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033667530 | Michael Wells | Pharmacist | 611 East Missoula Ave., Troy, MT 59935 | 2016-09-14 |
| 1740655448 | Michael Wells | Pedorthist | 1835 Chicago Ave, Unit A, Riverside, CA 92507-2378 | 2015-12-07 |
| 1609156686 | Michael Kyle Wells | Pharmacist | 2920 S Range Ave, Denham Springs, LA 70726-5566 | 2011-08-23 |
| 1033181367 | Michael G Wells | Family Medicine | 10010 East Truman Road, Independence, MO 64052-2160 | 2006-02-02 |
| 1114909579 | Michael B Wells | Family Medicine | 250 S Main St, Eureka, NV 89316-0347 | 2005-11-18 |
| 1205838927 | Michael A. Wells | Obstetrics & Gynecology | 115 Medical Park Drive, Andalusia, AL 36420 | 2005-08-12 |
| 1538641972 | Michael A Wells | Behavioral Analyst | 90 Hospital Drive, Athens, OH 45701 | 2018-09-02 |
| 1144730250 | Michael A Wells | Counselor | 410 S Sherman St, Fitzgerald, GA 31750-3352 | 2017-10-03 |
| 1790202190 | Michael Ryan Wells | Counselor | 555 School St, Pittsburg, CA 94565-3937 | 2017-08-25 |
| 1952837874 | Michael Benjamin Wells | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Suite Msb 1.134, Houston, TX 77030-1501 | 2017-05-11 |
| Street Address |
6100 WINDHAVEN PKWY |
| City | PLANO |
| State | TX |
| Zip Code | 75093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275054272 | Natalie A. Wright Md Pllc | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2017-06-29 |
| 1265978084 | Michael J Wells Mdpa | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2017-01-18 |
| 1003364712 | Hodges Dermatology, Pllc | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2016-09-12 |
| 1457726846 | Elizabeth Debry Carter | Physician Assistant | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2015-12-10 |
| 1245654664 | Jennifer R Stalkup Md Pa | Specialist | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2014-02-05 |
| 1043658198 | Jennifer Marie Snipes | Physician Assistant | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2013-06-11 |
| 1114363488 | Gunjan M. Modi, M.d., P.a. | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2013-05-14 |
| 1699119610 | Brooke Mohr Renkes | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2013-04-21 |
| 1699092866 | Natalie Ann Wright | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2010-04-28 |
| 1952623696 | Sheree Patel | Physician Assistant | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2010-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780879346 | Eric Stephen Hollabaugh, M.d., Pa | Dermatology | 6100 Windhaven Pkwy Ste 208, Plano, TX 75093-8046 | 2007-09-07 |
| 1265978084 | Michael J Wells Mdpa | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2017-01-18 |
| 1962898312 | Pooyan Rohani | Dermatology | 6000 W Spring Creek Pkwy Ste 200, Plano, TX 75024-3617 | 2015-04-13 |
| 1114363488 | Gunjan M. Modi, M.d., P.a. | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2013-05-14 |
| 1356589204 | Gunjan M Modi | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2009-01-30 |
| 1346425915 | Edward Lansing Parry Md Pa | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2008-01-02 |
| 1194813543 | Paul T Martinelli | Dermatology | 4716 Alliance Blvd, Suite 150, Plano, TX 75093-5371 | 2006-10-11 |
| 1497749824 | Eric Stephen Hollabaugh | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649800848 | Skin Cancer Dermatology, Pllc | Dermatology | 3327 Research Plz Ste 414, San Antonio, TX 78235-5159 | 2020-01-16 |
| 1598302721 | Austin Skin Pllc | Dermatology | 1501 Dorothy Nichols Ln # B, Smithville, TX 78957-1725 | 2019-12-06 |
| 1154717726 | Joshua Lee Owen | Dermatology | 2632 Broadway, Suite 300 South, San Antonio, TX 78215-7821 | 2015-04-10 |
| 1043615263 | Epiphany Dermatology Pa | Dermatology | 7106 Sanger Avenue, Waco, TX 76712-3928 | 2014-10-30 |
| 1255745915 | Leon Chen | Dermatology | 6655 Travis St Ste 650, Houston, TX 77030-1316 | 2014-06-19 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1457695413 | Oliver Street 5.01(a) Inc. | Dermatology | 5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826 | 2012-11-15 |
| 1427330588 | Michael A. Sorace Md Pa | Dermatology | 7950 Floyd Curl Dr Ste 505, Medical Center Tower 1, San Antonio, TX 78229-3924 | 2011-09-15 |
| 1811229180 | Skin Surgery Center, Pa | Dermatology | 6208 Colleyville Blvd, Suite 100, Colleyville, TX 76034-6223 | 2010-02-11 |
| 1265614168 | Michael Sorace | Dermatology | 745 W San Antonio Ave, Suite 100, Boerne, TX 78006-3213 | 2007-12-03 |
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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.