Individual provider Active NPI

Laura J Welch, MD

  • Internal Medicine Physician
  • Longview, TX
National Provider Identifier
1902872716
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L4204 Issued in TX
Practice address
1207A E Marshall Ave
Longview, TX 75601-5604
Phone
(903) 907-7003
NPI assigned
Feb 23, 2006
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0072615 CO
Family Medicine Physician 207Q00000X L4204 TX
Internal Medicine Physician 207R00000X L4204 TX Primary

Addresses

Primary practice location

1207A E Marshall Ave
Longview, TX 75601-5604

Mailing address

PO Box 746079
Atlanta, GA 30374-6079

Other practice location 1

1550 Pulsar Dr
Colorado Springs, CO 80916-4503
Phone (719) 632-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040421001687 TX Practitioner - Internal Medicine 9234125634 Reassigns benefits to 3 organizations
I20240409003631 CO Practitioner - Internal Medicine 9234125634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

1207 A E Marshall Ave
Longview, TX 75601-5604
Phone (903) 907-7003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L4204TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC Family Medicine CurrentSince Nov 4, 2024 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Apr 22, 2024 Accepting new patients
Matthews-Vu Medical Group, P.C. Internal Medicine CurrentSince Apr 22, 2024 Accepting new patients
BHS Physicians Network, Inc Family Medicine CurrentSince Jun 6, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Aug 7, 2018 Accepting new patients
Matthews-Vu Medical Group, P.C. Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 6, 2019 Accepting new patients
Diagnostic Clinic of Longview PA Family Medicine Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

1550 Pulsar Dr
Colorado Springs, CO 80916
Phone (303) 668-2678

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 364-4851

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

1207 E Marshall Ave
#A
Longview, TX 75601
Phone (903) 907-7003

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

4848 NE Stallings Dr
Ste 202
Nacogdoches, TX 75965
Phone (936) 569-2590

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1902872716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207A E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015604",
            "telephone_number": "903-907-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Pulsar Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809164503",
            "country_code": "US",
            "telephone_number": "719-632-4455",
            "fax_number": "360-462-5181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0072615",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4204",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.