Organization Active NPI

J Steven Welch DO PA

  • Family Medicine Physician
  • Weatherford, TX
National Provider Identifier
1184813800
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
J STEVEN WELCH DO PA
Practice address
100 Rooster Cogburn CT
Weatherford, TX 76088-7228
Phone
(817) 594-4223
Fax
(817) 594-8058
NPI assigned
Oct 18, 2007
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Dr. J Steven Welch, DO
Title
President
Phone
(817) 594-4223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

100 Rooster Cogburn CT
Weatherford, TX 76088-7228

Mailing address

100 Rooster Cogburn CT
Weatherford, TX 76088-7228
Phone (817) 594-4223

Other identifiers 1

IdentifierTypeStateIssuer
178447201MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1184813800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROOSTER COGBURN CT",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760887228",
            "telephone_number": "817-594-4223",
            "fax_number": "817-594-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROOSTER COGBURN CT",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760887228",
            "telephone_number": "817-594-4223",
            "fax_number": "817-594-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J STEVEN WELCH DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-594-4223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178447201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.