Active NPI
Jeremy M Welsh, RPA
- Medical Physician Assistant
- Liverpool, NY
National Provider Identifier
1184686834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 009596
- Practice address
- 5100 W Taft Rd
Suite 1C
Liverpool, NY 13088-3807 - Phone
- (315) 452-2333
- Fax
- (315) 452-2336
- NPI assigned
- Apr 6, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 009596 | NY | |
| Medical Physician Assistant | 363AM0700X | 009596 | NY | Primary |
Addresses
Primary practice location
5100 W Taft Rd
Suite 1C
Liverpool, NY 13088-3807
Mailing address
5100 W. Taft Rd
Suite 1C
Liverpool, NY 13088-4868
Phone (315) 452-2333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02565557 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009596 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cny North Urgent Care PLLC | Past | Accepting new patients | |
| Privia Medical Group, LLC | Past | Accepting new patients | |
| Onondaga Hill E R Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
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.
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1962901389
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1699708479
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1184686834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 W. TAFT RD",
"address_2": "SUITE 1C",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130884868",
"telephone_number": "315-452-2333",
"fax_number": "315-452-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W TAFT RD",
"address_2": "SUITE 1C",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883807",
"telephone_number": "315-452-2333",
"fax_number": "315-452-2336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELSH",
"first_name": "JEREMY",
"middle_name": "M",
"credential": "RPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "009596",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "009596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02565557",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.