Provider Demographics
NPI:1871677740
Name:WELLS, STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:WELLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 NEW BERN AVE
Mailing Address - Street 2:WAKEMED
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1231
Mailing Address - Country:US
Mailing Address - Phone:919-350-6002
Mailing Address - Fax:919-350-6003
Practice Address - Street 1:3000 NEW BERN AVE
Practice Address - Street 2:WAKEMED
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1255
Practice Address - Country:US
Practice Address - Phone:919-350-6002
Practice Address - Fax:919-350-6003
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33442207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F54528Medicare ID - Type Unspecified
NC8986483Medicare ID - Type Unspecified
NC2185270Medicare ID - Type Unspecified