Mary Jane Welch, PHYSICIAN ASSISTANG

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000148 Issued in NY

Practice address

840 Hanshaw Road
Asthmas & Allergy Associates P.C.
Ithaca, NY 14850

Phone

(607) 257-6563

Fax

(607) 257-1420

NPI assigned

Jun 7, 2006

Last updated

Aug 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Goldwyn & Boyland Physical Therapy PC

  • Physical Therapist
  • Cortland, NY
  • NPI 1659576296
  NPD (past)
• Otter Creek Medical Office, LLP

  • Family Medicine Physician
  • McGraw, NY
  • NPI 1164478293
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1487694469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 HANSHAW ROAD",
            "address_2": "ASTHMAS & ALLERGY ASSOCIATES P.C.",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-257-6563",
            "fax_number": "607-257-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 HANSHAW ROAD",
            "address_2": "ASTHMAS & ALLERGY ASSOCIATES P.C.",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-257-6563",
            "fax_number": "607-257-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "MARY JANE",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "000148",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "000148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Alan Weinberg, L. AC.
• Leanna Elizabeth Weinert-Watson
• Jennifer Weinraub, MD
• Pamela Weisberg-Shapiro, RN
• Jed H. Weitzen, PH.D.
• Well-Being Pediatrics & Adolescent Medicine, PLLC
• Jeremy Weller, PA-C
• Wellnow Urgent Care, PC (WellNow Urgent Care)
• Mark W Welsh, DDS
• Faith Wendell

• Medical Physician Assistant in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.