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NPI Code Detail

MEDICARE: DR. ANDREW JACKSON WELCH MD

MEDICARE: DR. ANDREW JACKSON WELCH MD
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
1207X00000XOrthopaedic Surgery Physician3713NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1V001717OTHERCHAMPUS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518907435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW JACKSON WELCH MD
Provider Business Mailing Address
First Line : 1950 E DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3250
Country : US
Telephone Number : 702-737-3438
Fax Number : 702-369-9898
Provider Business Practice Location Address
First Line : 1950 E DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3250
Country : US
Telephone Number : 702-737-3438
Fax Number : 702-369-9898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 08/28/2012

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Directions to “ DR. ANDREW JACKSON WELCH MD” Practice Location

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