Active NPI
Kasey Carl Welch, D.O.
- Family Medicine Physician
- Jbsa Randolph, TX
National Provider Identifier
1437599719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12315A
- Practice address
- 221 3Rd St W BLDG 1040
Jbsa Randolph, TX 78150-4800 - Phone
- (210) 652-4264
- NPI assigned
- Jul 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5460 | OK | |
| Aerospace Medicine Physician | 2083A0100X | 12315A | WY | |
| Family Medicine Physician | 207Q00000X | 12315A | WY | Primary |
Addresses
Primary practice location
221 3Rd St W BLDG 1040
Jbsa Randolph, TX 78150-4800
Mailing address
221 3Rd St W BLDG 1040
Jbsa Randolph, TX 78150-4800
Other practice location 1
18th Medical Group Unit 5142
Apo, AP 96368
Phone (634) 630-4215
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5460 | OK | MD | Mental Health Counselor |
| 12315A | WY | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1437599719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 3RD ST W BLDG 1040",
"city": "JBSA RANDOLPH",
"state": "TX",
"postal_code": "781504800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 3RD ST W BLDG 1040",
"city": "JBSA RANDOLPH",
"state": "TX",
"postal_code": "781504800",
"telephone_number": "210-652-4264"
}
],
"practiceLocations": [
{
"address_1": "18th Medical Group Unit 5142",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "96368",
"country_code": "US",
"telephone_number": "634-630-4215",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "WELCH",
"first_name": "KASEY",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-01",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "5460",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "WY",
"license": "12315A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "12315A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jbsa Randolph, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.