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NPI Code Detail

MEDICARE: DR. DEREK C. WELCH M.D.

MEDICARE: DR. DEREK C. WELCH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician36584TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100049937OTHERTNPHP TENNCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
337819OTHERTNTLC TENNCARE
44128532OTHERTNBLUE SHIELD
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7198281OTHERTNUNISON TENNCARE
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093753303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEREK C. WELCH M.D.
Provider Business Mailing Address
First Line : 1010 AIRPARK CENTER DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37217-5200
Country : US
Telephone Number : 615-221-4447
Fax Number : 615-234-2511
Provider Business Practice Location Address
First Line : 1010 AIRPARK CENTER DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37217-5200
Country : US
Telephone Number : 615-562-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 09/02/2022

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