Active NPI
Jason Welch
- Hearing Instrument Specialist
- Baraboo, WI
National Provider Identifier
1003351834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1520-60
- Practice address
- 622 State Rd 136
Baraboo, WI 53913 - Phone
- (608) 355-0555
- NPI assigned
- Jan 3, 2017
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1520-60 | WI | Primary |
Addresses
Primary practice location
622 State Rd 136
Baraboo, WI 53913
Mailing address
622 State Rd 136
Baraboo, WI 53913
Phone (608) 355-0555
Other practice location 1
1659 N Spring St
Beaver Dam, WI 53916-1280
Phone (920) 219-4394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1520-60 | WI | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid West Hearing LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003351834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 STATE RD 136",
"city": "BARABOO",
"state": "WI",
"postal_code": "53913",
"telephone_number": "608-355-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 STATE RD 136",
"city": "BARABOO",
"state": "WI",
"postal_code": "53913",
"telephone_number": "608-355-0555"
}
],
"practiceLocations": [
{
"address_1": "1659 N Spring St",
"address_purpose": "LOCATION",
"city": "Beaver Dam",
"state": "WI",
"postal_code": "539161280",
"country_code": "US",
"telephone_number": "920-219-4394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELCH",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "1520-60",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baraboo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.