Charles R. Welford MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-057923 Issued in IL

Legal business name

CHARLES R. WELFORD MD SC

Practice address

5707 Strathmoor Dr
Rockford, IL 61107-5161

Phone

(815) 398-9386

NPI assigned

Jun 3, 2010

Last updated

Jun 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles R Welford I, MDNPI 1972586857

Title

President

Phone

(815) 398-9386

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Welford, MD

  • Internal Medicine Physician
  • Rockford, IL
  • NPI 1972586857
  Authorized official Same address or phone

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1912227620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 STRATHMOOR DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075161",
            "telephone_number": "815-398-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 STRATHMOOR DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075161",
            "telephone_number": "815-398-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R. WELFORD MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "WELFORD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-398-9386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-057923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changes Place
• Judy Chanthalangsy, O.D.
• Viengkeo Chanthaloth- Phasouk, LCSW
• Logan John Chapman-Neal
• Heather Chapman
• James Chatham Jr., M.D.
• Arshan Z Chaudhri, MD
• Kanwal Shazia Chaudhry, M.D.
• Herman Chen, PHARMD
• David M Cheng, MD

• Internal Medicine Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.