1902853260 NPI number — MR. DONALD WILLS WELSH MD

Table of content: DR. MING WANG M.D. (NPI 1669156154)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902853260 NPI number — MR. DONALD WILLS WELSH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WELSH
Provider First Name:
DONALD
Provider Middle Name:
WILLS
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WELSH
Provider Other First Name:
DONALD
Provider Other Middle Name:
W
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1902853260
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/13/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2147 RIVERCHASE OFFICE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35244-1836
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-403-8902
Provider Business Mailing Address Fax Number:
205-982-0278

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1680 MONTGOMERY HWY
Provider Second Line Business Practice Location Address:
AMERICAN FAMILY CARE INC
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-979-0888
Provider Business Practice Location Address Fax Number:
205-979-4110
Provider Enumeration Date:
05/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  7216 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 110178802 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 28950 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009949320 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com