Kenneth Jay Welker, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD22731 Issued in OR

Practice address

1200 Executive Pkwy
Ste 360
Eugene, OR 97401-2114

Phone

(541) 762-1155

Fax

(541) 762-1154

NPI assigned

Jul 21, 2006

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Bryan J Anderson MD PC

  • Surgery Physician
  • Boise, ID
  • NPI 1942270251
  NPD (past)
• Shauna T Williams MD PA

  • Surgery Physician
  • Boise, ID
  • NPI 1669443420
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1891715678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EXECUTIVE PKWY",
            "address_2": "STE 360",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012114",
            "telephone_number": "541-762-1155",
            "fax_number": "541-762-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EXECUTIVE PKWY",
            "address_2": "STE 360",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012114",
            "telephone_number": "541-762-1155",
            "fax_number": "541-762-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKER",
        "first_name": "KENNETH",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD22731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008834",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalli Marcel Welch, D.C.
• Melissa Bee Welch, RN
• Timothy B Welch, MD, DDS
• Corrina Welding
• Jeanette L Welker, RN, FNP
• Well Aware Integrative Care LLC
• Well Aware Therapy, LLC
• Well Balanced
• Well Balanced Mind
• Kathrin Annette Weller, M.D.

• Surgery Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.