Active NPI
Kerry D Welch, MD
- Legal Medicine
- American Fork, UT
National Provider Identifier
1346291796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 870467383
- Practice address
- 120 N 1220 E
#15
American Fork, UT 84003 - Phone
- (801) 756-5241
- Fax
- (801) 756-9102
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 870467383 | UT | Primary |
Addresses
Primary practice location
120 N 1220 E
#15
American Fork, UT 84003
Mailing address
120 N 1220 E
American Fork, UT 84003-2946
Phone (801) 756-5241
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QMXEF02544 | Other | UT | ALTIUS |
| 0244033 01 | Other | UT | UNITED HEALTH CARE |
| 107006233101 | Other | UT | SELECT HEALTH |
| 260025 | Other | UT | CIGNA |
| 6198 | Other | UT | PEHP |
| 60054 | Other | UT | AETNA |
| 020053056 | Other | UT | MEDICARE RAILROAD |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000000 | UT | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1346291796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N 1220 E",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032946",
"telephone_number": "801-756-5241",
"fax_number": "801-756-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N 1220 E",
"address_2": "#15",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "84003",
"telephone_number": "801-756-5241",
"fax_number": "801-756-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "KERRY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "UT",
"license": "870467383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QMXEF02544",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0244033 01",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "107006233101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "260025",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "6198",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "60054",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "020053056",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.