Individual provider Active NPI

Weston J Welker, MD

  • Family Medicine Physician
National Provider Identifier
1760437313
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00013209 Issued in AL
Practice address
185 Chateau Drive
Suite 302
Huntsville, ALABAMA 35801
UM
Phone
(256) 705-4402
Fax
(256) 705-4630
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13209 AL
Emergency Medicine Physician 207P00000X MD.13209 AL
Family Medicine Physician 207Q00000X 00013209 AL Primary

Addresses

Primary practice location

185 Chateau Drive
Suite 302
Huntsville, ALABAMA 35801
UM

Mailing address

600 Whitesport Cir SW
Huntsville, AL 35801-6495
Phone (256) 882-2003

Other identifiers 7

IdentifierTypeStateIssuer
051557052OtherALMEDICARE
009936914MedicaidAL
4004082OtherALAETNA
51537670OtherALBCBS
009911231MedicaidAL
51534290OtherALBCBS
051541754OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20051219000595 AL Practitioner - Family PracticePractitioner - Emergency Medicine 7416931274 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.13209ALMDEmergency Medicine Physician
00013209ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Hospitalist Medicine Specialists of Hamilton LLC Emergency Medicine CurrentSince Apr 29, 2024 Accepting new patients
Professional Resources Management, Inc. Family Medicine CurrentSince Jun 11, 2021 Accepting new patients
Signify Health, LLC CurrentSince Jan 29, 2022 Accepting new patients
Relias Emergency Medicine Specialists of Hamilton, LLC Emergency Medicine CurrentSince Feb 12, 2024 Accepting new patients
Hill Hospital of York Past Accepting new patients
Covenant Pain Therapies Center, Inc Past Accepting new patients
Correct Care, Inc. Emergency Medicine Past Accepting new patients
Singing River Healthcare, LLC PastSince Jul 24, 2017 Accepting new patients
Fayette Medical Center Past Accepting new patients
Lister Healthcare Corporation Family Medicine Past Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

102 Conecuh Ave W
Union Springs, AL 36089
Phone (334) 386-0378

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: wwelker1777019@direct.ochsner.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1760437313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WHITESPORT CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016495",
            "telephone_number": "256-882-2003",
            "fax_number": "256-882-7115"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "185 CHATEAU DRIVE",
            "address_2": "SUITE 302",
            "city": "HUNTSVILLE",
            "state": "ALABAMA",
            "postal_code": "35801",
            "telephone_number": "256-705-4402",
            "fax_number": "256-705-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKER",
        "first_name": "WESTON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "13209",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.13209",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00013209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "051557052",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936914",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4004082",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51537670",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911231",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51534290",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051541754",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.