Angela Marie Welke, PA-C, MS, ATC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113682 Issued in FL

Practice address

12385 Sorrento Rd Ste A4
Pensacola, FL 32507-8656

Phone

(850) 466-2766

NPI assigned

Apr 4, 2016

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Marie Pectol Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1760845911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 SUMMIT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033390",
            "telephone_number": "321-615-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 SORRENTO RD STE A4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078656",
            "telephone_number": "850-466-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKE",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "PA-C, MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PECTOL",
            "middle_name": "MARIE",
            "credential": "PA-C, MS, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Alka A. Wells, M.D.
• Arthur Fred Wells Jr., MD

• Physician Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.