Active NPI
Randon Scott Welton, MD
- Psychiatry Physician
- Rootstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35.061972
- Practice address
- 4211 State Route 44 Ste 203
Rootstown, OH 44272-9733 - Phone
- (330) 325-3202
- Fax
- (833) 606-1565
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.061972 | OH | Primary |
Addresses
Primary practice location
4211 State Route 44 Ste 203
Rootstown, OH 44272-9733
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (330) 325-3202
Other practice location 1
500 University Dr
Hershey, PA 17033-2360
Phone (800) 233-4082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osup Community Outreach LLC | Current | Accepting new patients |
Locations
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
4211 State Route 44
Ste 203
Rootstown, OH 44272
Phone (330) 325-3202
6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100
Interoperability endpoints
- rwelton1177042@direct.osumc.edu
Organizations & group practices 1
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.
-
- Neurology Physician
- Dublin, OH
- NPI 1699179929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1518953421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "330-325-3202",
"fax_number": "833-606-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 STATE ROUTE 44 STE 203",
"city": "ROOTSTOWN",
"state": "OH",
"postal_code": "442729733",
"telephone_number": "330-325-3202",
"fax_number": "833-606-1565"
}
],
"practiceLocations": [
{
"address_1": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "800-233-4082",
"fax_number": "717-531-6250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELTON",
"first_name": "RANDON",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.061972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rootstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.