MICHAEL WELLING (NPI# 1821060294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821060294 |
| Entity Type | Individual |
| Full Name | MICHAEL WELLING |
| Credential | MD |
| Practice Address |
2040 Shadeland Ave Ste 200 Indianapolis IN 46219-1734 |
| Mailing Address |
6626 E 75th Street Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3173551800 |
| Practice Fax Number | 3173551803 |
| Mailing Telephone | 3176217561 |
| Mailing Fax Number | 3173556096 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01039687A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200003850A | 05 | |
| IN | ANTHEM PIN | 000000094392 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932151529 | Michael E Welling | Radiology | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2006-05-16 |
| Street Address |
2040 SHADELAND AVE STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164806436 | Alexis Taylor | Nurse Practitioner | 2040 Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2015-07-16 |
| 1659315331 | Karen L Givan | Counselor | 2040 Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184616294 | Fadia T Aldahan | Psychiatry & Neurology | 5502 East 16th Street, Suite A21, Indianapolis, IN 46218-4932 | 2005-08-16 |
| 1700337920 | Kledzik Psychiatric LLC | Psychiatry & Neurology | 9245 N Meridian St, 225, Indianapolis, IN 46260-1836 | 2016-10-24 |
| 1225477409 | Huma M Hosain | Psychiatry & Neurology | 355 W 16th St, #2364, Indianapolis, IN 46202-2207 | 2013-06-20 |
| 1033552310 | Axon Health Associates, LLC | Psychiatry & Neurology | 10585 N Meridian St, Suite 201, Indianapolis, IN 46290-1069 | 2013-04-16 |
| 1235422429 | Genalynne Carwile Mooneyham | Psychiatry & Neurology | 1111 W 10th St, #201, Indianapolis, IN 46202-4800 | 2011-05-19 |
| 1396924742 | Correctional Management Company | Psychiatry & Neurology | 9000 Keystone Xing, Suite 1040, Indianapolis, IN 46240-2118 | 2007-11-01 |
| 1790989671 | Ann M Kledzik | Psychiatry & Neurology | 702 Barnhill Dr, #4300, Indianapolis, IN 46202-5128 | 2007-06-13 |
| 1740401421 | Melisa Ybarra Martinez | Psychiatry & Neurology | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2007-05-01 |
| 1194819714 | Robert Peter Mohlman | Psychiatry & Neurology | 320 North Tibbs Avenue, Indianapolis, IN 46222 | 2006-10-03 |
| 1598869786 | Susanne Blix | Psychiatry & Neurology | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2006-09-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on MICHAEL WELLING.
| 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.