Active NPI
Jeffrey Welan
- Technician
- North Potomac, MD
National Provider Identifier
1598385403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- Practice address
- 14260 Secluded LN
North Potomac, MD 20878-4339 - Phone
- (301) 279-5577
- NPI assigned
- Apr 21, 2020
- Last updated
- Apr 21, 2020
- 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 |
|---|---|---|---|---|
| Technician | 374700000X | NU | Primary |
Addresses
Primary practice location
14260 Secluded LN
North Potomac, MD 20878-4339
Mailing address
14260 Secluded LN
North Potomac, MD 20878-4339
Phone (301) 279-5577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17916516 | Other | MD | STATE OF MD TAX ID |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1598385403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14260 SECLUDED LN",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208784339",
"telephone_number": "301-279-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14260 SECLUDED LN",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208784339",
"telephone_number": "301-279-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELAN",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-21",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MD TAX ID",
"identifier": "17916516",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.