Russell C Welch, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25766 Issued in MN

Practice address

3482 Crumfield Path
Rosemount, MN 55068-4715

Phone

(651) 454-9241

NPI assigned

Aug 31, 2006

Last updated

Mar 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Regional Anesthesia Services PA

  • Anesthesiology Physician
  • Minnetonka, MN
  • NPI 1073621850
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1851403174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3482 CRUMFIELD PATH",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684715",
            "telephone_number": "651-454-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3482 CRUMFIELD PATH",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684715",
            "telephone_number": "651-454-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "RUSSELL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "25766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175002000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Nicole Wall
• Michelle M Wall, PT/DPT, ATC
• Richard Warmke
• Katelyn Weeres
• Gabrielle Wegner
• Nicole A Welp, RN
• Tim Whiteman, PT
• Leslie Wight, LMFT
• Lisa M Wilson
• Winters Pediatric Dentistry, PLLC

• Anesthesiology Physician in Rosemount, MN
• Providers in Rosemount, MN by specialty
• Anesthesiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.