Individual provider Active NPI

Michael Welc

  • Chiropractor
  • Plattsburgh, NY
National Provider Identifier
1962662593
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011644 Issued in NY
Practice address
33 Durkee St
Plattsburgh, NY 12901-2999
Phone
(518) 569-1080
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011644 NY Primary

Addresses

Primary practice location

33 Durkee St
Plattsburgh, NY 12901-2999

Mailing address

PO Box 2891
Plattsburgh, NY 12901-0259
Phone (518) 569-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090414000488 NY Practitioner - Chiropractic 0042367856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Welcare Family and Sports Chiropractic PLLCGroup PAC ID 4486701299, 3 clinicians

Practice addresses (Care Compare)

308 W Bay PLZ
Plattsburgh, NY 12901-1787
Phone (518) 324-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011644NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Welcare Family & Sports Chiropractic, PLLC CurrentSince Mar 2, 2009 Accepting new patients

Locations

308 W Bay Plz
Plattsburgh, NY 12901
Phone (518) 324-2700

33 Durkee St
Plattsburgh, NY 12901
Phone (518) 324-2700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1962662593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2891",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129010259",
            "telephone_number": "518-569-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DURKEE ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012999",
            "telephone_number": "518-569-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELC",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.