Individual provider Active NPI

William Joseph Welsh, M.D.

  • Plastic Surgery Physician
  • Augusta, GA
National Provider Identifier
1407838527
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
17993 Issued in GA
Practice address
1433 Stovall St
Augusta, GA 30904-4883
Phone
(706) 736-6806
Fax
(706) 733-1168
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 17993 GA
Plastic Surgery Physician 208200000X 17993 GA Primary

Addresses

Primary practice location

1433 Stovall St
Augusta, GA 30904-4883

Mailing address

1433 Stovall St
Augusta, GA 30904-4883
Phone (706) 736-6806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100218000295 PA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 4587651336 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17993GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 1, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 1, 2020 Accepting new patients
Summerville Surgical Center LLC PastSince May 1, 2008 Accepting new patients
Plastic and Reconstructive Surgery PC Plastic Surgery PastSince Sep 1, 2005 Accepting new patients

Locations

236 Jamesway Rd
Ebensburg, PA 15931
Phone (814) 471-6595

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Ste A401
Johnstown, PA 15905
Phone (814) 534-5138

1 Tech Park Dr
Ste 1200
Johnstown, PA 15901
Phone (814) 534-6750

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1407838527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 STOVALL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044883",
            "telephone_number": "706-736-6806",
            "fax_number": "706-733-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 STOVALL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044883",
            "telephone_number": "706-736-6806",
            "fax_number": "706-733-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "17993",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "17993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.