Active NPI
Weldon David Couch, MD
- Clinical Medical Laboratory
- Tucson, AZ
National Provider Identifier
1831287879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Practice address
- 350 N Wilmot Rd
Tucson, AZ 85711-2602 - Phone
- (520) 873-3929
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
350 N Wilmot Rd
Tucson, AZ 85711-2602
Mailing address
6810 E Broadway Blvd Ste 202
Tucson, AZ 85710-2899
Phone (520) 298-4589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12487 | Other | AZ | LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Specialist of Arizona, LLP | Current | Accepting new patients | |
| Tucson Pathology Associates P.C. | Clinical Medical Laboratory | Past | Accepting new patients |
Locations
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1174503999
-
- Clinical Medical Laboratory
- Tucson, AZ
- NPI 1912093873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1831287879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6810 E BROADWAY BLVD STE 202",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857102899",
"telephone_number": "520-298-4589",
"fax_number": "520-298-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112602",
"telephone_number": "520-873-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUCH",
"first_name": "WELDON",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "12487",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.