Provider Type Icon

JED M WELLS D.P.M. NPI 1083612238


NPI Information

NPI: 1083612238
Provider Name: JED M WELLS, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
6828 SPRINGFIELD AVE
SUITE 2
LAREDO, TX
ZIP 78041
Phone: (956) 726-9797
Get Directions

Jed M Wells, D.P.M. is a foot and ankle surgery podiatrist in Laredo, TX with 33 years of experience. Jed M Wells, D.P.M. NPI is 1083612238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1991

The provider's business location address is:

6828 SPRINGFIELD AVE
SUITE 2
LAREDO, TX
ZIP 78041-286
Phone: (956) 726-9797
Fax: (956) 726-9965

The NPI 1083612238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/12/2005 and was last updated on 6/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryTX1355TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100205EMEDICARE ID-TYPE UNSPECIFIEDTEXASPROVIDER NUMBER
2092738602MEDICAIDTEXAS
3U32769MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.