NPIMap

Individual provider Active NPI

Kurt Walter Welser, PA-C

  • Physician Assistant
  • Thorne Bay, AK
National Provider Identifier
1326264219
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
372 Issued in AK
Practice address
120 Freeman Dr.
Searhc Clinic
Thorne Bay, AK 99919
Phone
(907) 828-8848
Fax
(907) 828-3409
NPI assigned
Apr 18, 2007
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 372 AK Primary
Medical Physician Assistant 363AM0700X 372 AK

Addresses

Primary practice location

120 Freeman Dr.
Searhc Clinic
Thorne Bay, AK 99919

Mailing address

120 Freeman Drive
P.O. Box 19290
Thorne Bay, AK 99919
Phone (907) 828-8848

Other names 1

  • Mrs. Suzanne Irene Welser Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium Past Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients
South East Alaska Regional Health Consortium 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, 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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1326264219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FREEMAN DRIVE",
            "address_2": "P.O. BOX 19290",
            "city": "THORNE BAY",
            "state": "AK",
            "postal_code": "99919",
            "telephone_number": "907-828-8848",
            "fax_number": "907-828-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FREEMAN DR.",
            "address_2": "SEARHC CLINIC",
            "city": "THORNE BAY",
            "state": "AK",
            "postal_code": "99919",
            "telephone_number": "907-828-8848",
            "fax_number": "907-828-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSER",
        "first_name": "KURT",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "372",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "WELSER",
            "middle_name": "IRENE",
            "prefix": "MRS.",
            "credential": "R.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Thorne Bay, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.