Charles Welford, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3657923 Issued in IL

Practice address

5707 Strathmoor Dr
Rockford, IL 61107-5161

Phone

(815) 398-9386

NPI assigned

Nov 23, 2005

Last updated

Aug 19, 2011By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Charles R. Welford MD SC

  • Internal Medicine Physician
  • Rockford, IL
  • NPI 1912227620
  Authorized official Same address or phone

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1972586857",
    "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": {
        "last_name": "WELFORD",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "3657923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057923",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerome S Weiskopf, MD
• Howard W. Weiss, M.D.
• Sheldon A. Weiss, MD
• Stephen F Weiss, M.D.
• Martha Jane Welch, PSYD
• Well Being Home Health Care LLC
• Well Wheels Medical Transportation LLC
• Betsy Weller, RN
• Wellness & Transformation LLC
• Wellness Way Rockford LLC

• 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 Aug 19, 2011; 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.