Active NPI
Raymond Henry Welch, M.D.
- Dermatology Physician
- Providence, RI
National Provider Identifier
1164462461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD6829
- Practice address
- 845 N Main St
Suite 3
Providence, RI 02904-5700 - Phone
- (401) 521-7300
- Fax
- (401) 521-7307
- NPI assigned
- Jun 7, 2006
- Last updated
- Jun 23, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD6829 | RI | Primary |
| Procedural Dermatology Physician | 207NS0135X | MD6829 | RI |
Addresses
Primary practice location
845 N Main St
Suite 3
Providence, RI 02904-5700
Mailing address
845 N Main St
Suite 3
Providence, RI 02904-5700
Phone (401) 521-7300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03-00135 | Other | RI | UNITED HEALTH CARE |
| 200786 | Other | RI | BCBS-BLUECHIP |
| 0000023500 | Other | RI | BLUE CROSS BLUE SHIELD RI |
| 713938 | Other | RI | TUFTS |
| 9001732 | Medicaid | RI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD6829 | RI | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1164462461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 N MAIN ST",
"address_2": "SUITE 3",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045700",
"telephone_number": "401-521-7300",
"fax_number": "401-521-7307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 N MAIN ST",
"address_2": "SUITE 3",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045700",
"telephone_number": "401-521-7300",
"fax_number": "401-521-7307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "RAYMOND",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "RI",
"license": "MD6829",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "RI",
"license": "MD6829",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "03-00135",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-BLUECHIP",
"identifier": "200786",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD RI",
"identifier": "0000023500",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "713938",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9001732",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.