NPIMap

Organization Active NPI

Charles G Welch, P.C.

  • Surgery Physician
  • Cody, WY
National Provider Identifier
1366631285
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
6582A Issued in WY
Legal business name
CHARLES G WELCH, P.C.
Practice address
1613 Stampede Ave
Suite a
Cody, WY 82414-4710
Phone
(307) 587-9800
Fax
(307) 587-9830
NPI assigned
Oct 16, 2007
Last updated
Dec 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Charles G Welch, MDNPI 1225027097
Title
President
Phone
(307) 587-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6582A WY Primary

Addresses

Primary practice location

1613 Stampede Ave
Suite a
Cody, WY 82414-4710

Mailing address

PO Box 1330
Powell, WY 82435-1330
Phone (307) 754-3319

Other identifiers 1

IdentifierTypeStateIssuer
125126100MedicaidWY

National Provider Directory

National Provider Directory

Locations

1613 Stampede Ave
#A
Cody, WY 82414
Phone (307) 587-1155

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1366631285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824351330",
            "telephone_number": "307-754-3319",
            "fax_number": "307-754-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 STAMPEDE AVE",
            "address_2": "SUITE A",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144710",
            "telephone_number": "307-587-9800",
            "fax_number": "307-587-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES G WELCH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-587-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WY",
            "license": "6582A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125126100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.