Active NPI
Jason Adam Welch, M.D.
- Family Medicine Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101249122
- Practice address
- 1712 E. Broad Street
Jencare Neighborhood Medical Shockoe Bottom LLC
Richmond, VA 23223 - Phone
- (804) 344-9848
- Fax
- (804) 344-5644
- NPI assigned
- Jul 31, 2006
- Last updated
- May 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101249122 | VA | |
| Family Medicine Physician | 207Q00000X | 058031 | GA | |
| Family Medicine Physician | 207Q00000X | 0101249122 | VA | Primary |
Addresses
Primary practice location
1712 E. Broad Street
Jencare Neighborhood Medical Shockoe Bottom LLC
Richmond, VA 23223
Mailing address
1712 E. Broad Street
Jencare Neighborhood Medical Shockoe Bottom LLC
Richmond, VA 23223
Phone (804) 344-9848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Glenside Dr
Richmond, VA 23226-3769
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058031 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Primary Care | Family Medicine | Current | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
Locations
7140 Hull Street Rd
Ste 101
North Chesterfield, VA 23235
Phone (804) 276-4141
1800 Glenside Dr
Ste 105
Richmond, VA 23226
Phone (804) 288-0399
1800 Glenside Dr
Ste 110
Richmond, VA 23226
Phone (804) 288-1800
Interoperability endpoints
- jason.welch@cpcva.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Richmond, VA
- NPI 1750571287
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1134475999
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1639193188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1952317893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 E. BROAD STREET",
"address_2": "JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM LLC",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23223",
"telephone_number": "804-344-9848",
"fax_number": "804-344-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 E. BROAD STREET",
"address_2": "JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM LLC",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23223",
"telephone_number": "804-344-9848",
"fax_number": "804-344-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "JASON",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101249122",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "058031",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101249122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.