Scott T Weldon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60490220 Issued in WA

Practice address

42 E Rowan Ave Ste a
Spokane, WA 99207-1212

Phone

(509) 483-3155

Fax

(509) 483-3270

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Northside Family Physicians

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1750855276
  Medicare reassignment
• Bellin Memorial Hospital Inc

  • Family Medicine Physician
  • Green Bay, WI
  • NPI 1033172390
  NPD (past)
• George Soncrant D/B/a Behavioral Services

  • Adult Mental Health Clinic/Center
  • Green Bay, WI
  • NPI 1841570447
  NPD (past)
• Mental Health Partners, SC

  • Adult Mental Health Clinic/Center
  • Green Bay, WI
  • NPI 1750460929
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1831287564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E ROWAN AVE STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071212",
            "telephone_number": "509-483-3155",
            "fax_number": "509-487-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E ROWAN AVE STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071212",
            "telephone_number": "509-483-3155",
            "fax_number": "509-483-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDON",
        "first_name": "SCOTT",
        "middle_name": "T",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60490220",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2059-023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA60490220",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2059-023",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R Welborn, RPH
• Danielle Welch
• Kimberly Welch, LMT
• Roy Clifford Welch
• Susan Marie Welde, MS
• Shumendi H Weldu, RN
• Christopher Robert Welker, M.D.
• John Welker
• Well Life Pharmacy Incorporated
• Wellcraft Therapy LLC

• Physician Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.