Provider Demographics
NPI:1275576571
Name:WELSH, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:WELSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4761 DRYDEN CT
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-9250
Mailing Address - Country:US
Mailing Address - Phone:319-325-9453
Mailing Address - Fax:
Practice Address - Street 1:673 WESTBURY DR STE 201
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2732
Practice Address - Country:US
Practice Address - Phone:319-356-6352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA357052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA21017OtherWELLMARK BCBS
IA0729426Medicaid
IAI17901Medicare PIN
IA21017OtherWELLMARK BCBS
IAP00347195Medicare ID - Type UnspecifiedRAILROAD MC