Active NPI
Larry David Weisman, DPM
- Podiatrist
- Glenview, IL
National Provider Identifier
1053417154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016003177
- Practice address
- 2180 Pfingsten Rd Ste 3100
Glenview, IL 60026-1339 - Phone
- (847) 866-7846
- Fax
- (866) 954-5787
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016003177 | IL | Primary |
Addresses
Primary practice location
2180 Pfingsten Rd Ste 3100
Glenview, IL 60026-1339
Mailing address
2180 Pfingsten Rd
Glenview, IL 60026-1339
Phone (847) 866-7846
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lweisman13403@direct.northshore.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Clinical Operations | Past | Accepting new patients |
Interoperability endpoints
- lweisman13403@direct.northshore.org
Organizations & group practices 1
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.
-
dba Endeavor Health Highland Park Hospital
- Psychiatric Hospital Unit
- Highland Park, IL
- NPI 1770527236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1053417154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 PFINGSTEN RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261339",
"telephone_number": "847-866-7846",
"fax_number": "866-954-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 PFINGSTEN RD STE 3100",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261339",
"telephone_number": "847-866-7846",
"fax_number": "866-954-5787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISMAN",
"first_name": "LARRY",
"middle_name": "DAVID",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016003177",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lweisman13403@direct.northshore.org",
"affiliation": "N",
"address_1": "2180 Pfingsten Rd Ste 3100",
"city": "Glenview",
"state": "IL",
"country_code": "US",
"postal_code": "600261339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.