WELBORN CLINIC IDTF REO
NPI 1124166194
Radiology - Diagnostic Radiology in Rockport, IN

Active since February 02, 2007
3434 W STATE ROAD 66, ROCKPORT, IN 47635(812) 649-5061 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Welborn Clinic Idtf Reo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELBORN CLINIC IDTF REO (NPI 1124166194) is a healthcare organization registered as a diagnostic radiology in Rockport, Indiana and active in the NPI registry since February 2007. The organization lists David D Christeson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124166194
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBOARD OF TRUSTEES OF WELBORN CLINIC
Location Address3434 W STATE ROAD 66Rockport, IN 47635-9259
Mailing Address3434 W State Road 66Rockport, IN 47635-9259 · (812) 649-5061
Organization SubpartNo
Authorized OfficialDavid D ChristesonCeo · (812) 426-9228
Enumeration DateFebruary 2, 2007
Last NPPES UpdateNovember 29, 2007
NPI 1124166194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
3434 W STATE ROAD 66, Rockport, IN 47635

Other Names 1

Doing Business AsWelborn Clinic Idtf Reo

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
3434 W STATE ROAD 66
ROCKPORT, IN 47635
Family Medicine
3434 W STATE ROAD 66
ROCKPORT, IN 47635
Clinic/Center (Multi-Specialty)
3434 W STATE ROAD 66
ROCKPORT, IN 47635
Clinic/Center
3434 W STATE ROAD 66
ROCKPORT, IN 47635
Family Medicine
3434 W STATE ROAD 66
ROCKPORT, IN 47635
Family Medicine
3434 W STATE ROAD 66
ROCKPORT, IN 47635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Board Of Trustees Of Welborn Clinic's NPI number?

The NPI number for Board Of Trustees Of Welborn Clinic is 1124166194. It was assigned to this organization in the NPPES registry on February 2, 2007. The provider is doing business as Welborn Clinic Idtf Reo.

Where is Board Of Trustees Of Welborn Clinic located?

Board Of Trustees Of Welborn Clinic is located at 3434 W State Road 66, Rockport, IN 47635. The listed phone number is (812) 649-5061.

What is Board Of Trustees Of Welborn Clinic's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Board Of Trustees Of Welborn Clinic was last updated on November 29, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.