Active NPI
William Welch, M.D.
- Cardiovascular Disease Physician
- Roanoke, VA
National Provider Identifier
1720088842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101035714
- Practice address
- 127 McClanahan St SW
Suite 300
Roanoke, VA 24014-1728 - Phone
- (540) 982-8204
- Fax
- (540) 224-1059
- NPI assigned
- Jul 29, 2005
- Last updated
- Aug 12, 2011
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101035714 | VA | Primary |
Addresses
Primary practice location
127 McClanahan St SW
Suite 300
Roanoke, VA 24014-1728
Mailing address
127 McClanahan St SW
Suite 300
Roanoke, VA 24014-1728
Phone (540) 982-8204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5822289 | Medicaid | VA | |
| 6059201 | Medicaid | VA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101035714 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Past | Accepting new patients | |
| Lewis Gale Physicians LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carilion Clinic - DME - Westlake
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- Internal Medicine Physician
- Salem, VA
- NPI 1902977705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1720088842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 MCCLANAHAN ST SW",
"address_2": "SUITE 300",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141728",
"telephone_number": "540-982-8204",
"fax_number": "540-224-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 MCCLANAHAN ST SW",
"address_2": "SUITE 300",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141728",
"telephone_number": "540-982-8204",
"fax_number": "540-224-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101035714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5822289",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6059201",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.