NEW WELLSPRING LLC (NPI# 1932683471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932683471 |
| Entity Type | Organization |
| Organization Name | NEW WELLSPRING LLC |
| Practice Address |
2400 Northpark Dr Ste 20 Columbus IN 47203-4467 |
| Practice Telephone | 8123768625 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | RICHARD ROBERTSON (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8123760700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2400 NORTHPARK DR STE 20 |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47203-4467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134697121 | Sarah Ramey | Nurse Practitioner | 2400 Northpark Dr Ste 20, Columbus, IN 47203-4467 | 2018-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1174939680 | Hana Hoffman | Occupational Therapist | 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 | 2014-07-03 |
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1639454606 | Jaime Denise Miller | Physical Therapist | 2625 Foxpointe Dr. 3a, Columbus, IN 47203 | 2011-10-20 |
| 1538443155 | Jessica Paige Laymon | Social Worker | 1680 Whitney Court, Columbus, IN 47203 | 2011-09-30 |
| 1720375124 | Hannah C Burke | Physical Therapist | 2625 Foxpointe Dr, Columbus, IN 47203 | 2011-07-06 |
| 1033419437 | Patricia J. Lisinski | Physician Assistant | 2510 Sandcrest Drive, Columbus, IN 47203 | 2010-11-01 |
| 1245495175 | David Brent Gadberry | Registered Nurse | 2122 Sumpter Trl, Columbus, IN 47203 | 2008-07-21 |
| 1710003231 | Ellen H Rudolph | Dentist | 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 | 2007-03-22 |
| Find all providers in zip 47203 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375483 | Optimum Rehab Solutions | Physical Medicine & Rehabilitation | 2079 Deer Valley Ct, Columbus, IN 47201-1598 | 2020-01-15 |
| 1831354893 | Corey B Armstead | Physical Medicine & Rehabilitation | 2300 13th St, Suite A, Columbus, GA 31906-2596 | 2008-07-18 |
| 1306047345 | Kenneth X Nguyen | Physical Medicine & Rehabilitation | 543 Taylor Ave, 1st Floor, Columbus, OH 43203-1278 | 2007-05-29 |
| 1346322187 | Xrs LLC | Physical Medicine & Rehabilitation | 2400 North Park, Suite 20, Columbus, IN 47203-4467 | 2006-10-20 |
| 1942228887 | North Columbus Spine, PC | Physical Medicine & Rehabilitation | 2300 Manchester Expy, Building G Suite 101, Columbus, GA 31904-6802 | 2006-07-18 |
| 1407816069 | Orthopaedic & Spine Center At Polaris, LLC | Physical Medicine & Rehabilitation | 1120 Polaris Pkwy, Suite 202, Columbus, OH 43240-4042 | 2006-03-27 |
| 1912991001 | Yeshwant P Reddy | Physical Medicine & Rehabilitation | 931 Chatham Ln, Columbus, OH 43221-2417 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003247008 | Advancd Pain and Rehab Md LLC | Physical Medicine & Rehabilitation | 1443 S Lake Park Ave, Hobart, IN 46342-6635 | 2013-12-02 |
| 1639454440 | Merrillville Pain Relief Center PC | Physical Medicine & Rehabilitation | One Tower Plaza, 111 E 89th Avenue, Ste 111, Merrillville, IN 46410-7184 | 2011-10-13 |
| 1639211808 | Joseph William Bergeron | Physical Medicine & Rehabilitation | 9292 N Meridian St Ste 111, Indianapolis, IN 46260-1828 | 2007-02-13 |
| 1861542565 | Ofelia Balagtas-balmaseda | Physical Medicine & Rehabilitation | 4812 S 7th St, Terre Haute, IN 47802-4502 | 2007-01-12 |
| 1548352727 | Choong Jin Yoon | Physical Medicine & Rehabilitation | 600 Saint Andrews Dr, Schererville, IN 46375-2970 | 2006-09-28 |
| 1669425419 | Heartland Physical Medicine & Rehabilitation PC | Physical Medicine & Rehabilitation | 1019 E Springhill Dr, Terre Haute, IN 47802 | 2006-05-19 |
| 1730130402 | Robert K Silbert | Physical Medicine & Rehabilitation | 6640 Parkdale Pl, Suite R, Indianapolis, IN 46254-5619 | 2006-05-15 |
| 1467423939 | Mark V Reecer | Physical Medicine & Rehabilitation | 5750 Coventry Ln, Suite 101, Fort Wayne, IN 46804-7166 | 2006-01-31 |
| 1295732055 | Steven A Rupert | Physical Medicine & Rehabilitation | 2330 Lynch Rd, Suite 100, Evansville, IN 47711-2998 | 2005-07-07 |
| 1144227596 | Irving I. Haber | Physical Medicine & Rehabilitation | 1818 N 3rd St, Terre Haute, IN 47804-4041 | 2005-06-30 |
| 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.