Mr. Casey James Welk
Nurse Practitioner (Primary Care)

Address: 9201 W Sunset Blvd Ste 812, Los Angeles, CA 90069-3709
Phone: 3105501010

Mr. Casey James Welk (NPI# 1083104582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1083104582
Entity Type Individual
Full Name Mr. Casey James Welk
Credential AGNP-C
Gender Male
Practice Address 9201 W Sunset Blvd Ste 812
Los Angeles
CA 90069-3709
Practice Telephone 3105501010
Mailing Address 1263 N Flores St Apt H2
West Hollywood
CA 90069-2973
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2018-05-10
Last Update Date 2018-05-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LP2300X Nurse Practitioner · Primary Care Physician Assistants & Advanced Practice Nursing Providers 95008842 CA

Physician Overview

NPI 1083104582
PAC ID by PECOS 5698024164
Professional Enrollment ID I20180815004079
Full Name Casey James Welk
Organization Legal Name ANTHONY MARTIN MILLS M D A MEDICAL CORPORATION
Phone Number 3105501010
Gender M
Medical School DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 1456404573
Number of Group Practice Members 9
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Office Location

Street Address 9201 W SUNSET BLVD STE 812
City LOS ANGELES
State CA
Zip Code 90069-3709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356889836 Men's Health Foundation General Practice 9201 W Sunset Blvd Ste 812, Los Angeles, CA 90069-3709 2017-02-06
1770940306 Mens Health Foundation Pharmacy 9201 W Sunset Blvd Ste 812, Los Angeles, CA 90069-3709 2016-01-27
1063822872 Anthony Martin Mills, M.d., Pharmacy Inc. Pharmacy 9201 W Sunset Blvd Ste 812, Los Angeles, CA 90069-3709 2014-05-01
1174967335 Craig J Schaefer Pharmacy Technician 9201 W Sunset Blvd Ste 812, Los Angeles, CA 90069-3709 2013-04-18
1972814713 Katy J Morton Pharmacist 9201 W Sunset Blvd Ste 812, Los Angeles, CA 90069-3709 2010-06-26

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NPI Name Taxonomy Address Enumeration
1821620188 Schewitz Psychological Services Inc Counselor 722 North Orlando Avenue, #109, West Hollywood, CA 90069 2020-02-05
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1982121026 Karen A Robinson Dental Hygienist 1264 N. Kings Rd, #14, West Hollywood, CA 90069 2017-08-29
1851844237 Anna Mcmaster Physical Therapist 1201 Larrabee St Apt 205, West Hollywood, CA 90069 2016-08-02
1730565136 Brittany Giraud Nurse Practitioner 8570 W. Sunset Blvd Suite 1.5, West Hollywood, CA 90069 2015-08-07
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90069

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Dataset Information

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.