Individual provider Active NPI

Paula F Weisenberger, MD

  • Hematology & Oncology Physician
  • Fairfield, OH
National Provider Identifier
1083608285
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35037711 Issued in OH
Practice address
3050 Mack Rd
Ste 300
Fairfield, OH 45014-5379
Phone
(513) 682-4800
Fax
(513) 682-4807
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 21186 KY
Hematology & Oncology Physician 207RH0003X 01031784A IN
Hematology & Oncology Physician 207RH0003X 35037711 OH Primary

Addresses

Primary practice location

3050 Mack Rd
Ste 300
Fairfield, OH 45014-5379

Mailing address

5053 Wooster Rd
Cincinnati, OH 45226-2326
Phone (513) 751-2145

Other identifiers 3

IdentifierTypeStateIssuer
100019990MedicaidIN
0453709MedicaidOH
64863111MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paula.weisenberger@ohc.ikm.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20031114000180 OH Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5092627471 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35037711OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Care Inc Hematology & Oncology CurrentSince May 1, 2001 Accepting new patients
University Internal Medicine Associates, Inc. Hematology & Oncology Past Accepting new patients

Locations

5053 Wooster Rd
Cincinnati, OH 45226
Phone (513) 751-2145

3301 Mercy Health Blvd
Ste 100
Cincinnati, OH 45211
Phone (513) 751-2145

3050 Mack Rd
Ste 300
Fairfield, OH 45014
Phone (513) 682-4800

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

Interoperability endpoints

  • Direct secure messaging: paula.weisenberger@ohc.ikm.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1083608285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 WOOSTER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452262326",
            "telephone_number": "513-751-2145",
            "fax_number": "513-751-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MACK RD",
            "address_2": "STE 300",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145379",
            "telephone_number": "513-682-4800",
            "fax_number": "513-682-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENBERGER",
        "first_name": "PAULA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "21186",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01031784A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35037711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100019990",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0453709",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64863111",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paula.weisenberger@ohc.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3050 Mack Rd",
            "address_2": "Ste 300",
            "city": "Fairfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450145379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.