Individual provider Active NPI

Gerard J Weeden, DO

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1013908748
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0102201286 Issued in VA
Practice address
7101 Jahnke Rd
Suite 611
Richmond, VA 23225-4017
Phone
(804) 327-4046
Fax
(804) 327-4047
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102201286 VA Primary

Addresses

Primary practice location

7101 Jahnke Rd
Suite 611
Richmond, VA 23225-4017

Mailing address

7101 Jahnke Rd
Suite 611
Richmond, VA 23225-4017
Phone (804) 327-4046

Other identifiers 3

IdentifierTypeStateIssuer
010054010MedicaidVA
1013908748MedicaidVA
P00193823OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000445 VA Practitioner - Internal Medicine 0749261311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians

Practice addresses (Care Compare)

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 320-3911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vibra Physicians LLC CurrentSince Sep 1, 2013 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Sep 23, 2019 Accepting new patients
Sentara Medical Group Internal Medicine Past Accepting new patients
Virginia Hospitalists Inc Internal Medicine Past Accepting new patients
Sentara Medical Group Past Accepting new patients

Locations

5 E River Park Pl E
Ste 460
Fresno, CA 93720

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

7101 Jahnke Rd
Ste 611
Richmond, VA 23225
Phone (804) 327-4046

7101 Jahnke Rd
#611
Richmond, VA 23225
Phone (540) 498-4000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1013908748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 JAHNKE RD",
            "address_2": "SUITE 611",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254017",
            "telephone_number": "804-327-4046",
            "fax_number": "804-327-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 JAHNKE RD",
            "address_2": "SUITE 611",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254017",
            "telephone_number": "804-327-4046",
            "fax_number": "804-327-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEDEN",
        "first_name": "GERARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102201286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010054010",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013908748",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00193823",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.