Individual provider Active NPI

Graham Lindsay Welch, D.C.

  • Chiropractor
  • Mount Vernon, OH
National Provider Identifier
1174837793
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1204 Issued in OH
Practice address
812 Coshocton Ave
BLDG 2, Suite 1
Mount Vernon, OH 43050-1947
Phone
(740) 397-7246
Fax
(740) 392-3082
NPI assigned
Aug 6, 2010
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1204 OH Primary

Addresses

Primary practice location

812 Coshocton Ave
BLDG 2, Suite 1
Mount Vernon, OH 43050-1947

Mailing address

812 Coshocton Ave
BLDG 2, Suite 1
Mount Vernon, OH 43050-1947
Phone (740) 397-7246

Other identifiers 1

IdentifierTypeStateIssuer
06-41470MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
1204OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L. Rodgers II DC Inc Chiropractor Past Accepting new patients
Knox Chiropractic & Wellness Center Chiropractor Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1174837793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 COSHOCTON AVE",
            "address_2": "BLDG 2, SUITE 1",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501947",
            "telephone_number": "740-397-7246",
            "fax_number": "740-392-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 COSHOCTON AVE",
            "address_2": "BLDG 2, SUITE 1",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501947",
            "telephone_number": "740-397-7246",
            "fax_number": "740-392-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "GRAHAM",
        "middle_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06-41470",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.