Individual provider Active NPI

Amy D Welch, PA-C,

  • Medical Physician Assistant
  • Des Moines, IA
National Provider Identifier
1174519003
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001913 Issued in IA
Practice address
1200 University Ave
Suite 120
Des Moines, IA 50314-2343
Phone
(515) 248-1500
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001913 IA Primary
Clinical Social Worker 1041C0700X 002050 IA

Addresses

Primary practice location

1200 University Ave
Suite 120
Des Moines, IA 50314-2343

Mailing address

1200 University Ave
Suite 120
Des Moines, IA 50314-2343
Phone (515) 248-1500

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002050IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Greeley Medical Center Current Accepting new patients
Mary Greeley Medical Center CurrentSince Jan 25, 2012 Accepting new patients
Mary Greeley Medical Center CurrentSince Jan 25, 2012 Accepting new patients

Locations

1111 Duff Ave
Ames, IA 50010
Phone (515) 239-2011

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1174519003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE",
            "address_2": "SUITE 120",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142343",
            "telephone_number": "515-248-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE",
            "address_2": "SUITE 120",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142343",
            "telephone_number": "515-248-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PA-C,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001913",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "002050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.