CHARLES WELLS (NPI# 1871921445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871921445 |
| Entity Type | Individual |
| Full Name | CHARLES WELLS |
| Practice Address |
200 N Boston Ave Massapequa NY 11758-1543 |
| Practice Telephone | 6318484054 |
| Mailing Telephone | 6318484054 |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F306567-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851738165 | Charles William Wells | Clinic/Center | 101 Mitchell St Apt 1, A1 Chucks Taxi, Endicott, NY 13760 | 2013-05-28 |
| 1821389925 | Charles Craig Wells | Pharmacist | 101 S Greeno Rd, Fairhope, AL 36532-2019 | 2011-04-22 |
| 1578524922 | Charles Tennyson Wells IIi | Pharmacist | 600 North Wolfe Street/ Carnegie Bldg/ Room 224, Baltimore, MD 21287-0001 | 2006-03-28 |
| 1922616200 | Charles Tyler Wells | Pharmacist | 221 E Main St, Hazard, KY 41701-1920 | 2020-07-22 |
| 1467617746 | Charles Wells | Radiology | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2008-07-25 |
| 1194848366 | Charles Alan Wells | Pharmacist | 2636 Jacksboro Pike, La Follette, TN 37766 | 2007-04-10 |
| 1447318423 | Charles D Wells Jr. | Radiology | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2006-12-04 |
| 1366532020 | Charles Thomas Wells | Dentist | 1122 N Brand Blvd, #203, Glendale, CA 91202-2572 | 2006-10-13 |
| 1053332841 | Charles Chesley Wells | Psychiatry & Neurology | 435 2nd St, 430, Macon, GA 31201-8298 | 2006-07-21 |
| Street Address |
200 N BOSTON AVE |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346792751 | Gloria Maria Johnson | Nurse Practitioner | 264 N Hickory St, Massapequa, NY 11758-2924 | 2016-11-01 |
| 1962846154 | Margarita R Mendoza | Nurse Practitioner | 179 N Wyoming Ave, Massapequa, NY 11758-1511 | 2013-04-18 |
| 1669773479 | Patricia Kinneary | Nurse Practitioner | 847 Broadway, Suite 103, Massapequa, NY 11758-2373 | 2010-11-10 |
| 1912207648 | Elaine Mary Walsh | Nurse Practitioner | 84a Ocean Ave, Massapequa, NY 11758-7969 | 2010-10-28 |
| 1952889339 | Laura Anne Pellegrino | Nurse Practitioner | 119 New York Ave, Massapequa, NY 11758-4601 | 2018-07-30 |
| 1255706669 | Elizabeth Baynes | Nurse Practitioner | 510 Hicksville Rd, Massapequa, NY 11758-1203 | 2015-12-10 |
| 1972999589 | Rose Akamnonu | Nurse Practitioner | 1061 N Broadway, Massapequa, NY 11758-1853 | 2015-04-09 |
| 1558702803 | Louis Rigaud Bois | Nurse Practitioner | 27 N Baldwin Pl, Massapequa, NY 11758-5525 | 2013-07-16 |
| 1841425287 | Mary P. Sweeney | Nurse Practitioner | 4 Dorothy Gate, Massapequa, NY 11758-3521 | 2009-05-28 |
| 1134382484 | Sharon Smith Mcevoy | Nurse Practitioner | 847 N Broadway, Suite 103, Massapequa, NY 11758-2373 | 2008-07-08 |
| Find all providers in MASSAPEQUA | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
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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.