Individual provider Active NPI

Judy Welch, M.D.

  • Family Medicine Physician
  • Saco, ME
National Provider Identifier
1174519235
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
013627 Issued in ME
Practice address
9 Beach St
Saco, ME 04072-2801
Phone
(207) 294-3500
Fax
(207) 283-4207
NPI assigned
Sep 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 013627 ME Primary

Addresses

Primary practice location

9 Beach St
Saco, ME 04072-2801

Mailing address

9 Beach St
Saco, ME 04072-2801
Phone (207) 294-3500

Other identifiers 2

IdentifierTypeStateIssuer
132320000MedicaidME
01-0523031OtherMETAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20050725000572 ME Practitioner - Family Practice 7113954884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3 Eastview Pkwy
Suite 3
Saco, ME 04072-6701
Phone (207) 294-3500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
013627MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Judy Welch MD PA CurrentSince Mar 1, 1999 Accepting new patients
Anne Savona LCSW PA Past Accepting new patients

Locations

3 Eastview Pkwy
Ste 3
Saco, ME 04072
Phone (207) 284-1800

9 Beach St
Saco, ME 04072
Phone (207) 284-9113

Interoperability endpoints

  • Direct secure messaging: judy.welch@73232777216004.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1174519235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BEACH ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722801",
            "telephone_number": "207-294-3500",
            "fax_number": "207-283-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BEACH ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722801",
            "telephone_number": "207-294-3500",
            "fax_number": "207-283-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "013627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132320000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "01-0523031",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.