Paul B. Welch, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

06478 Issued in MS

Practice address

1867 Crane Ridge Dr Ste 101B
Jackson, MS 39216-4956

Phone

(601) 362-8776

Fax

(601) 354-8786

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Children'S Medical Group, P.a.

  • Pediatrics Physician
  • Jackson, MS
  • NPI 1588700603
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205947652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 CRANE RIDGE DR STE 101B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164956",
            "telephone_number": "601-362-8776",
            "fax_number": "601-354-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 CRANE RIDGE DR STE 101B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164956",
            "telephone_number": "601-362-8776",
            "fax_number": "601-354-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "PAUL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "06478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014940",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Welch
• Betsy Ross Welch, D.M.D.
• Brandy Welch, N.P
• Emilye Walker Welch, FNP-C
• Jana Lynn Welch, FNP
• Travanta Cheri Welch, NP-C
• Tyler Jennings Welch
• Valencia Welch, RN
• Patrick E Weldon, M.D.
• Wellington Institute, Inc.

• Pediatrics Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.