JERRY WELCH (NPI# 1558373530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558373530 |
| Entity Type | Individual |
| Full Name | JERRY WELCH |
| Credential | MD |
| Practice Address |
1515 Jefferson St Laurel MS 39440-4244 |
| Mailing Address |
Po Box 23666 Jackson MS 39225-3666 |
| Practice Telephone | 6014254893 |
| Practice Fax Number | 6014288633 |
| Mailing Telephone | 6012004749 |
| Mailing Fax Number | 6012005929 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 05861 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE | P00300448 | 01 |
| MS | 05107231 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033682505 | Jerry Etheridge Welch Jr. | Speech-Language Pathologist | 8490 92nd Ter, Seminole, FL 33777-3237 | 2019-01-08 |
| Street Address |
1515 JEFFERSON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407880404 | First Intermed Corporation | Family Medicine | 1515 Jefferson St, Laurel, MS 39440-4244 | 2006-07-10 |
| 1699210674 | Mea Primary Care Plus LLC | Family Medicine | 1515 Jefferson St, Laurel, MS 39440-4244 | 2016-12-29 |
| 1679585673 | Nathan A Williamson | Family Medicine | 1515 Jefferson St, Laurel, MS 39440-4244 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272310 | Saul J.e. Weinreb Md LLC | Obstetrics & Gynecology | 9811 Mallard Dr Ste 111, Laurel, MD 20708-3180 | 2019-12-19 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1730300328 | James Denver Perkins | Obstetrics & Gynecology | 103 South 11th Avenue, Laurel, MS 39440 | 2007-05-01 |
| 1649297201 | Rashad N. Ali | Obstetrics & Gynecology | 103 South 12th Avenue, Laurel, MS 39440 | 2006-07-17 |
| 1053350223 | Robert A Desantis | Obstetrics & Gynecology | 1104 W 1st St, Suite #2, Laurel, MS 39440-4357 | 2006-06-05 |
| 1609813757 | South Central Regional Medical Center | Obstetrics & Gynecology | 203 S 12th Ave, Laurel, MS 39440-4324 | 2006-05-31 |
| 1467865006 | James Keith Winstead Jr. | Obstetrics & Gynecology | 1008 N 15th Ave, Laurel, MS 39440 | 2014-06-10 |
| 1194143974 | Rachel Cudworth | Obstetrics & Gynecology | 1008 N 15th Ave, Laurel, MS 39440 | 2014-03-31 |
| 1255755385 | Laurel Obstetrics and Gynecology Pa | Obstetrics & Gynecology | 1104 W 1st St, Suite 2, Laurel, MS 39440-4357 | 2014-02-10 |
| 1770880445 | Latoya Renee Walker | Obstetrics & Gynecology | 117 S 11th Ave, Laurel, MS 39440-4312 | 2011-02-16 |
| Find all providers in LAUREL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.