COREY T WELCHLIN (NPI# 1649241977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649241977 |
| Entity Type | Individual |
| Full Name | COREY T WELCHLIN |
| Credential | D.O. |
| Practice Address |
717 S State St Suite 900 Fairmont MN 56031-4469 |
| Practice Telephone | 5072384949 |
| Practice Fax Number | 5072383377 |
| Mailing Telephone | 5072384949 |
| Mailing Fax Number | 5072383377 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2008-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 33466 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 039000300 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 40648WE | 01 |
| AMERICAS PPO | 597013 | 01 | |
| MN | BLUE CROSS BLUE SHIELD | 278G0WE | 01 |
| UCARE MN | 112400 | 01 | |
| SANFORD HEALTH | 21710 | 01 | |
| MEDICA | 0902069 | 01 | |
| IA | 0960765 | 05 | |
| PREFERREDONE | 974311000774 | 01 | |
| AVERA | 4320 | 01 | |
| HEALTH PARTNERS | HP20715 | 01 |
| Street Address |
717 S STATE ST SUITE 900 |
| City | FAIRMONT |
| State | MN |
| Zip Code | 56031-4469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516266 | Joseph Michael Klick | Nurse Anesthetist, Certified Registered | 717 S State St, Ste 100, Fairmont, MN 56031-4470 | 2005-05-23 |
| 1114374469 | Fairmont Orthopedics & Sports Medicine, P.a. | Clinic/Center | 717 S State St, Ste 1000, Fairmont, MN 56031-4469 | 2016-05-17 |
| 1326405010 | Superior Care Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 717 S State St, Suite 100, Fairmont, MN 56031-4469 | 2016-01-26 |
| 1194106823 | Christopher L. Olsen, Dds Pllc | Clinic/Center | 717 S State St, Suite #2, Fairmont, MN 56031-4469 | 2015-06-18 |
| 1760888028 | Mark Edward Reiter | Dentist | 717 S State St, Suite 500, Fairmont, MN 56031-4469 | 2014-11-14 |
| 1588900864 | Primary Specialists | Family Medicine | 717 S State St, Suite 800, Fairmont, MN 56031-4469 | 2012-12-14 |
| 1871852335 | Brant Michael Boekelman | Specialist/Technologist | 717 S State St, Fairmont, MN 56031-4469 | 2012-05-03 |
| 1225317688 | Elizabeth Ann Schultz | Physical Therapy Assistant | 717 S State St, Suite 900, Fairmont, MN 56031-4469 | 2011-08-16 |
| 1033497250 | Joseph Robert Angstman | Physical Therapy Assistant | 717 S State St, Suite 900, Fairmont, MN 56031-4469 | 2011-07-22 |
| 1437486479 | Fairmont Orthopedics & Sports Medicine P A | Durable Medical Equipment & Medical Supplies | 717 S State St, Ste 900, Fairmont, MN 56031-4469 | 2009-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
| 1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
| 1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
| 1912076795 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 111 Dorothy Street, Fairmont, MN 56031 | 2006-11-07 |
| 1750466322 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 107 Dorothy Street, Fairmont, MN 56031 | 2006-10-25 |
| 1588744155 | Kerri Lynn Henderson | Chiropractor | 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 | 2006-10-17 |
| 1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
| 1538253703 | Nathan Craig Jorgenson | Dentist | 717 South State Street, Suite 600, Fairmont, MN 56031 | 2006-10-03 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
| Find all providers in zip 56031 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356423677 | Jack Scott Koay | Orthopaedic Surgery | 19 Oakwood Rd, Fairmont, WV 26554-2453 | 2006-10-19 |
| 1497794416 | Nancy E Mckinley | Orthopaedic Surgery | 1400 Goose Run Rd, Fairmont, WV 26554-1351 | 2006-06-05 |
| 1912962325 | Peter Kent Thrush | Orthopaedic Surgery | 1708 Locust Ave, #101, Fairmont, WV 26554 | 2006-04-19 |
| 1811281900 | Fairmont Physicians, Inc. | Orthopaedic Surgery | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2011-06-06 |
| 1134280324 | Kent Michael Patrick | Orthopaedic Surgery | 717 S State St, Suite 900, Fairmont, MN 56031-4469 | 2006-12-12 |
| 1629161757 | Mark A Wikenheiser | Orthopaedic Surgery | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2006-10-02 |
| 1225046246 | Stephen Otto Berthelsen | Orthopaedic Surgery | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2006-08-04 |
| 1689621740 | Orthoniks Pllc | Orthopaedic Surgery | 1228 Country Club Rd, Fairmont, WV 26554-2369 | 2006-05-27 |
| 1265416192 | Harry Miller | Orthopaedic Surgery | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955385 | Summit Orthopedics Ltd | Orthopaedic Surgery | 4360 12th Ave E, Shakopee, MN 55379-1955 | 2019-10-30 |
| 1639631526 | Multiple Care of Mn, LLC | Orthopaedic Surgery | 8500 Normandale Lake Blvd Ste 350, Bloomington, MN 55437-3805 | 2019-04-01 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1477971174 | Thomas Jay Kaiser | Orthopaedic Surgery | 35 State Ave Ste 1, Faribault, MN 55021-6369 | 2014-03-31 |
| 1073876876 | Daniel Borgen | Orthopaedic Surgery | 1811 Pennsylvania Ave N, Golden Valley, MN 55427-4015 | 2012-06-18 |
| 1194019729 | John Allen Wilson Jr. | Orthopaedic Surgery | 7327 Rogers Point Rd Nw, Walker, MN 56484-2523 | 2011-05-31 |
| 1952693749 | Kurt Joseph Duncan | Orthopaedic Surgery | 8650 Hudson Blvd N Ste 100, Lake Elmo, MN 55042-8416 | 2011-05-11 |
| 1407155054 | Paul T. Wicklund, M.d., P.a. | Orthopaedic Surgery | 6545 France Ave S Ste 363, Edina, MN 55435-2121 | 2011-03-22 |
| 1861712861 | Wayne William Thompson | Orthopaedic Surgery | 1651 Saunders Ave, Saint Paul, MN 55116-2430 | 2010-06-02 |
| 1124357512 | William Jarvis Busby | Orthopaedic Surgery | 501 Holly Cir, Wayzata, MN 55391-1369 | 2009-12-14 |
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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.