Active NPI
Terry Welke, M.D.
- Family Medicine Physician
- Lake Charles, LA
National Provider Identifier
1972873610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.07519R
- Practice address
- 707 E Prien Lake Rd Ste B
Lake Charles, LA 70601-8788 - Phone
- (337) 477-7537
- Fax
- (337) 477-7599
- NPI assigned
- Jan 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.07519R | LA | Primary |
Addresses
Primary practice location
707 E Prien Lake Rd Ste B
Lake Charles, LA 70601-8788
Mailing address
707 E Prien Lake Rd Ste B
Lake Charles, LA 70601-8788
Phone (337) 477-7537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.07519R | LA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1972873610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 E PRIEN LAKE RD STE B",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018788",
"telephone_number": "337-477-7537",
"fax_number": "337-477-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 E PRIEN LAKE RD STE B",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018788",
"telephone_number": "337-477-7537",
"fax_number": "337-477-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELKE",
"first_name": "TERRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD.07519R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- Judith Ann Weinfurtner, PSS
- Eric Welch, PHARMD
- Stacy Lee Welch, LPC
- Constance Lazard Weldon
- Emily H Weldon, PT
- Wellness Chiropractic & Holistic Care
- Wellness Management Chiropractic & Medical Clinic Inc. (Thornell Mitchell)
- Wellness Management Chiropractic and Medical Clinic Inc.
- Miriam Werquin, LCSW
- Kimberly Wesson-Guidry, DSW,MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.