Organization Active NPI

Matthew Welter MD

  • Family Medicine Physician
  • Logan, UT
National Provider Identifier
1619573490
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MATTHEW WELTER MD
Doing business as
Matthew Welter M.D.,P.C.
Practice address
1219 N 400 E
Logan, UT 84341-2321
Phone
(435) 932-2025
Fax
(435) 215-4420
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Dr. Matthew Welter, MD
Title
President
Phone
(435) 757-8943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1219 N 400 E
Logan, UT 84341-2321

Mailing address

1915 E 13000 N
Cove, UT 84320-2130
Phone (435) 757-8943

Other names 1

  • Matthew Welter M.D.,P.C. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwelter@me.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1619573490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 E 13000 N",
            "city": "COVE",
            "state": "UT",
            "postal_code": "843202130",
            "telephone_number": "435-757-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N 400 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412321",
            "telephone_number": "435-932-2025",
            "fax_number": "435-215-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW WELTER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "WELTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-757-8943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwelter@me.com",
            "affiliation": "N",
            "endpointDescription": "Initial secure  email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1219 N 400 E",
            "city": "Logan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843412321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Matthew Welter M.D.,P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matthew Welter M.D.,P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.