Organization Active NPI

Dr. Laurence E Welker, Apmc

  • Podiatric Clinic/Center
  • Shreveport, LA
National Provider Identifier
1083892830
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
PD129R Issued in LA
Legal business name
DR. LAURENCE E WELKER, APMC
Doing business as
Laurence E Welker, DPM
Practice address
915 Olive St
Shreveport, LA 71104-2103
Phone
(318) 227-0810
Fax
(318) 227-8323
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Dr. Laurence Edward Welker, DPM
Title
Owner
Phone
(318) 227-0810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X PD129R LA Primary

Addresses

Primary practice location

915 Olive St
Shreveport, LA 71104-2103

Mailing address

915 Olive St
Shreveport, LA 71104-2103
Phone (318) 227-0810

Other identifiers 1

IdentifierTypeStateIssuer
1928577MedicaidLA

Other names 1

  • Laurence E Welker, DPM Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1083892830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OLIVE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042103",
            "telephone_number": "318-227-0810",
            "fax_number": "318-227-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLIVE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042103",
            "telephone_number": "318-227-0810",
            "fax_number": "318-227-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LAURENCE E WELKER, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "WELKER",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-227-0810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "LA",
            "license": "PD129R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1928577",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurence E Welker, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.