Organization Active NPI

Patrick J. Welch, M.D. (a Professional Medical Corporation)

  • Clinical Cardiac Electrophysiology Physician
  • Lafayette, LA
National Provider Identifier
1366401010
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD.12979R Issued in LA
Legal business name
PATRICK J. WELCH, M.D. (A PROFESSIONAL MEDICAL CORPORATION)
Practice address
200 Beaullieu Drive, Building 1
Lafayette, LA 70508-7230
Phone
(337) 289-6808
Fax
(337) 289-6807
NPI assigned
Mar 21, 2006
Organization subpart
Yes
Parent organization
PATRICK J. WELCH, M.D. (A PROFESSIONAL MEDICAL CORPORATION)As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. Patrick Joseph Welch, M.D.NPI 1417146283
Title
Physician/Owner/Director
Phone
(337) 289-6808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X L12979R LA
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X MD.12979R LA Primary

Addresses

Primary practice location

200 Beaullieu Drive, Building 1
Lafayette, LA 70508-7230

Mailing address

200 Beaullieu Drive, Building 1
Lafayette, LA 70508-7230
Phone (337) 289-6808

Other identifiers 1

IdentifierTypeStateIssuer
1552704MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090415000157 LA Part B Supplier - Clinic/Group Practice 8527115278 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory
Part of
Patrick J Welch MD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1366401010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DRIVE, BUILDING 1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087230",
            "telephone_number": "337-289-6808",
            "fax_number": "337-289-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DRIVE, BUILDING 1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087230",
            "telephone_number": "337-289-6808",
            "fax_number": "337-289-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. WELCH, M.D. (A PROFESSIONAL MEDICAL CORPORATION)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATRICK J. WELCH, M.D. (A PROFESSIONAL MEDICAL CORPORATION)",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER/DIRECTOR",
        "authorized_official_telephone_number": "337-289-6808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "L12979R",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "LA",
            "license": "MD.12979R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552704",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.