Justin Enoch Welch

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3665 Bay Rd
Saginaw, MI 48603-2445

Phone

(989) 799-6542

NPI assigned

Aug 19, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1326870346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831905",
            "telephone_number": "248-524-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 BAY RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032445",
            "telephone_number": "989-799-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JUSTIN",
        "middle_name": "ENOCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Joanne Weiss, RN
• Lucas Paul Weiss, DDS
• Megan Michele Weiss
• Randall Gerri Weiss, DDS
• Ashanta Danielle Welch
• Matthew Frank Welch, RPH MBA
• Nancy Welch
• Shanice Welch
• Marcella Sue Welker, N.P.
• Amy Wells

• Peer Specialist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.