Charles G Welch, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

6582A Issued in WY

Practice address

1613 Stampede Ave
Suite a
Cody, WY 82414-4710

Phone

(307) 587-9800

Fax

(307) 587-9830

NPI assigned

Oct 14, 2005

Last updated

Apr 3, 2009By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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

• Charles G Welch, P.C.

  • Surgery Physician
  • Cody, WY
  • NPI 1366631285
  Authorized official Same address or phone
• Dale R Myers MD PC

  • Gynecology Physician
  • Cody, WY
  • NPI 1083893127
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1225027097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 MOUNTAIN VIEW ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352232",
            "telephone_number": "307-754-4559",
            "fax_number": "307-754-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 STAMPEDE AVE",
            "address_2": "SUITE A",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144710",
            "telephone_number": "307-587-9800",
            "fax_number": "307-587-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "CHARLES",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WY",
            "license": "6582A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020050984",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "315520",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "311069",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116620400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derrik Porter Walton, D.D.S.
• Kathleen Anne Warne, RN
• Jennifer Lindsay Warner, PA-C
• Cynthia Johnson Weed
• Barry Peterson Welch, M.D.
• Douglas William Wenke, PHARMD
• Jeanann Wenke
• Michael Wenke, PHARMD
• Sheena Alexis Wentz, MSN, APRN, FNP-C
• West Park Hospital

• Surgery Physician in Cody, WY
• Providers in Cody, WY by specialty
• Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.