MEDICARE: SARA A. WELLS, M.D., A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	953098541205	UT
2	207Q00000X	Family Medicine Physician	953098541205	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DP8219	OTHER	UT	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821225079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARA A. WELLS, M.D., A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	2131 E 2100 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-1128
Country	:	US
Telephone Number	:	801-474-0355
Fax Number	:	801-485-8007

Provider Business Practice Location Address
First Line	:	2131 E 2100 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-1128
Country	:	US
Telephone Number	:	801-474-0355
Fax Number	:	801-485-8007

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SARA A WELLS
Credential	:	MD
Telephone Number	:	801-474-0355

Provider Enumeration Date	:	06/15/2009
Last Update Date	:	03/26/2014

Similar Medicare Providers

1528164621 — DR. SARA A WELLS MD
Practice Location Address:

2131 E 2100 S
SALT LAKE CITY, UT
84109-1128

Practice Phone: 801-474-0355
Practice Fax: 801-485-8007

1417113150 — SERENITY HOME HOSPICE LLC
Practice Location Address:

2131 E 2100 S
SLC, UT
84109-1128

Practice Phone: 801-598-2586
Practice Fax:

1164467049 — KEYSTONE REHABILITATION SYSTEMS INC
Practice Location Address:

612 SALT ST
SALTSBURG, PA
15681-1128

Practice Phone: 724-639-8300
Practice Fax: 724-639-3112

1023024502 — KENNETH SHILDT PT
Practice Location Address:

612 SALT ST
SALTSBURG, PA
15681-1128

Practice Phone: 724-639-8300
Practice Fax:

1629658927 — JOSEPH BRIAN CHAPPIE PT, DPT, LAT, ATC
Practice Location Address:

612 SALT ST
SALTSBURG, PA
15681-1128

Practice Phone: 724-639-8300
Practice Fax:

1184353328 — MATTHEW J WILSON ATC
Practice Location Address:

612 SALT ST
SALTSBURG, PA
15681-1128

Practice Phone: 724-639-8300
Practice Fax: 724-639-3112

Directions to “SARA A. WELLS, M.D., A PROFESSIONAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.