Larry Ray Welling, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

2000-308 Issued in NM

Practice address

3451 N Butler Ave
Farmington, NM 87401

Phone

(505) 566-1915

Fax

(505) 566-1918

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reliance Medical Group LLC

  • Urgent Care Clinic/Center
  • Farmington, NM
  • NPI 1497851208

  NM

  Medicare reassignment NPD
• Roswell Hospital Corporation

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1427001759
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1720183874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012357",
            "telephone_number": "505-566-1915",
            "fax_number": "505-566-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-566-1915",
            "fax_number": "505-566-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLING",
        "first_name": "LARRY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "2000-308",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "2000-308",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NM",
            "license": "2000-308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A2516",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Weiss, PHARM D
• Jennifer Weiss, PA-C
• Zachary Weiss, MD
• Welbrook Senior Living Farmington LLC
• Jamie Welch
• Amanda M Wells
• Rachel Jennifer Wells
• Wendy K. Buchanan, LMT, Lisw
• Stephanie A Werito-Thomas
• Michael B West, MD

• All providers in Farmington, NM
• Occupational Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.

Verify at the official NPI Registry.