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General NPI Number Information
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NPI Number | 1588627251
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Entity Type | Individual
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Provider Name | JOSHUA R WELLINGTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 11595 N MERIDIAN ST STE 402
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City | CARMEL
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State | IN
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Zip | 46032-6947
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Country | US
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Telephone | 317-706-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 29943 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1299
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Country | US
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Telephone | 317-706-7246
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 01058918A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 01058918A
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License Number State | IN
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