Active NPI
Amy G Welch
- Physician Assistant
- Sayre, PA
National Provider Identifier
1700851839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA000977
- Practice address
- 1537 Elmira St
Sayre, PA 18840-9254 - Phone
- (570) 888-6803
- Fax
- (570) 888-2025
- NPI assigned
- Feb 22, 2006
- Last updated
- Apr 17, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA000977 | PA | Primary |
Addresses
Primary practice location
1537 Elmira St
Sayre, PA 18840-9254
Mailing address
1537 Elmira St
Sayre, PA 18840-9254
Phone (570) 888-6803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170626001292 | PA | Order and Referring Only - Physician Assistant | 0941275721 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA000977 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302998400000",
"number": "1700851839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1537 ELMIRA ST",
"city": "SAYRE",
"state": "PA",
"postal_code": "188409254",
"telephone_number": "570-888-6803",
"fax_number": "570-888-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 ELMIRA ST",
"city": "SAYRE",
"state": "PA",
"postal_code": "188409254",
"telephone_number": "570-888-6803",
"fax_number": "570-888-2025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "AMY",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2011-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA000977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2011; 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.