Richard J. Weiland, Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15988 Issued in WA

Legal business name

RICHARD J. WEILAND, JR., M.D.

Practice address

1207 Evergreen CT
Clarkston, WA 99403-2843

Phone

(509) 758-0006

Fax

(509) 758-2607

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer S Weiland

Title

Office Manager

Phone

(509) 758-0006

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1023207677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 EVERGREEN CT",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032843",
            "telephone_number": "509-758-0006",
            "fax_number": "509-758-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 EVERGREEN CT",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032843",
            "telephone_number": "509-758-0006",
            "fax_number": "509-758-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. WEILAND, JR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-758-0006"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "15988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1379205",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0032709",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keely Reed
• Breeana Reiner, SLP
• Shari Reiter, M.A., M.SC.
• Shelbi Rembold
• Mindy L Renz, PTA
• Catherine Richards
• Kara Richardson
• Jaime Marie Riddle, MS
• Ann Marie Ridinger, MSW
• Eldon Lee Riggle, PHARMACIST

• Family Medicine Physician in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.