Provider Type Icon

GORDON DANIEL WELK MD NPI 1912966748


NPI Information

NPI: 1912966748
Provider Name: GORDON DANIEL WELK, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN
ZIP 47906
Phone: (765) 448-8000
Get Directions

Gordon Daniel Welk, MD is an emergency medicine in West Lafayette, IN. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Gordon Daniel Welk, MD NPI is 1912966748. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

253 SAGAMORE PKWY W
WEST LAFAYETTE, IN
ZIP 47906-501
Phone: (765) 448-8000
Fax: (765) 446-7023

The NPI 1912966748 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 2/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine01025175AINDIANANo
2207P00000XEmergency Medicine01025175AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000341035OTHERINDIANAFP ANTHEM PROVIDER NUMBER
210826167OTHERINDIANACAQH NUMBER
3000000189493OTHERINDIANAUC ANTHEM PROVIDER NUMBER
4815510CMEDICARE PININDIANA
5199190HMEDICARE PININDIANA
6080121478MEDICARE PININDIANA
79038773OTHERINDIANAPHCS PID NUMBER
8921480WMEDICARE PININDIANA
9815520LMEDICARE PININDIANA
10815500CCCMEDICARE PININDIANA
11142080HHMEDICARE PININDIANA
12C24521MEDICARE UPININDIANA
13100117190MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.