Kathleen M Welch-Wilson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME47118 Issued in FL

Practice address

1407 Viscaya Pkwy Ste 2
Cape Coral, FL 33990-6200

Phone

(239) 772-0111

Fax

(239) 772-0267

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• M & H Med Housecalls, LLC

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1427548304
  Medicare reassignment NPD
• SMH Physician Services Inc

  dba First Physicians Group

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1346295292

  Family Medicine

  Medicare reassignment NPD
• Emergency Medicine of Florida, Inc.

  dba COMBI (Comprehensive Occupational Medicine for Business & Industry)

  • Occupational Medicine Clinic/Center
  • Tampa, FL
  • NPI 1134235872
  NPD (past)
• Florida Hospital Medical Group Inc

  dba Rothman Orthopaedics AdventHealth Medical Group at Minneola

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1053453878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 VISCAYA PKWY STE 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339906200",
            "telephone_number": "239-772-0111",
            "fax_number": "239-772-0267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 S Osprey Ave Ste A1",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392933",
            "country_code": "US",
            "telephone_number": "941-917-7197",
            "fax_number": "941-917-4016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH-WILSON",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0047118",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME47118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01694655",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048012600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Jane Warner, R.N.
• Donna Lynn Warr, RN,IBCLC
• Philip F Waterman II II, M.D.
• Joseph Watson
• Jason Watts, DMD
• Megan Anne Welker, DDS
• Wellbeing Therapeutic Spa LLC
• Wellevate Mental Health PLLC
• Wellness in Motion Chiropractic Center Inc
• Wellness Oasis Therapy LLC

• Family Medicine Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.