Individual provider Active NPI

Timothy D Welby, M.D.

  • Pediatrics Physician
  • Dickson City, PA
National Provider Identifier
1619973245
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD052268L Issued in PA
Practice address
920 Viewmont Dr
Dickson City, PA 18519-1664
Phone
(570) 346-1464
Fax
(570) 558-9051
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD052268L PA Primary

Addresses

Primary practice location

920 Viewmont Dr
Dickson City, PA 18519-1664

Mailing address

920 Viewmont Dr
Dickson City, PA 18519-1664
Phone (570) 346-1464

Other identifiers 1

IdentifierTypeStateIssuer
0014664660007MedicaidPA

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 Medicine

State licenses

LicenseStateTypeSpecialty
MD052268LPAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: drwelby@pedsofnepa.medentdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1619973245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 VIEWMONT DR",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191664",
            "telephone_number": "570-346-1464",
            "fax_number": "570-558-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 VIEWMONT DR",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191664",
            "telephone_number": "570-346-1464",
            "fax_number": "570-558-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBY",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD052268L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014664660007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.