Individual provider Active NPI

Joy M Welty, M.D.

  • Family Medicine Physician
  • Bellingham, WA
National Provider Identifier
1336405596
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60732827 Issued in WA
Practice address
3015 Squalicum Pkwy Ste 120
Bellingham, WA 98225-1906
Phone
(360) 676-9336
Fax
(360) 676-2567
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60732827 WA Primary

Addresses

Primary practice location

3015 Squalicum Pkwy Ste 120
Bellingham, WA 98225-1906

Mailing address

3015 Squalicum Pkwy Ste 120
Bellingham, WA 98225-1906
Phone (360) 676-9336

Other practice location 1

500 University Dr
MC H055
Hershey, PA 17033-2360
Phone (717) 531-8848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911002533 WA Practitioner - Family Practice 7012233612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Network, PLLCGroup PAC ID 0446142046, 124 clinicians

Practice addresses (Care Compare)

3015 Squalicum Pkwy
Suite 120
Bellingham, WA 98225-1906
Phone (360) 676-9336

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Network PLLC Family Medicine CurrentSince Oct 10, 2017 Accepting new patients
Family Care Network PLLC Family Medicine Current Accepting new patients
Family Care Network PLLC Family Medicine CurrentSince Oct 10, 2017 Accepting new patients

Locations

3015 Squalicum Pkwy
Ste 120
Bellingham, WA 98225
Phone (360) 676-9336

1610 Grover St
Ste D1
Lynden, WA 98264
Phone (360) 312-3785

Interoperability endpoints

  • Direct secure messaging: jwelty19823@direct.fcn.net

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336405596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY STE 120",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251906",
            "telephone_number": "360-676-9336",
            "fax_number": "360-676-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY STE 120",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251906",
            "telephone_number": "360-676-9336",
            "fax_number": "360-676-2567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_2": "MC H055",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8848",
            "fax_number": "717-531-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELTY",
        "first_name": "JOY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60732827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.