Carl C Welch, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CARL C WELCH, MD, PA

Doing business as

Tri-State Rural Health

Practice address

502 Alcorn Dr
Corinth, MS 38834-9392

Phone

(662) 287-5216

Fax

(662) 287-8406

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Carl C Welch, M.D.

Title

Owner/Physician

Phone

(662) 287-5216

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tri-State Rural Health Doing business as

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1689680431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349392",
            "telephone_number": "662-287-5216",
            "fax_number": "662-287-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349392",
            "telephone_number": "662-287-5216",
            "fax_number": "662-287-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL C WELCH, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "662-287-5216",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014589",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-State Rural Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.