Active NPI
Judith Weisman, M.D.
- Surgery Physician
- Damariscotta, ME
National Provider Identifier
1093786535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 1533111
- Practice address
- 5 Miles Center Way
Unit 2
Damariscotta, ME 04543 - Phone
- (207) 563-6391
- NPI assigned
- Feb 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1533111 | NY | Primary |
Addresses
Primary practice location
5 Miles Center Way
Unit 2
Damariscotta, ME 04543
Mailing address
94 Keene Woods Rd
Damariscotta, ME 04543-4519
Phone (207) 563-6391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00994129 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053311 | NY | MD | Pharmacist |
| 1533111 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Past | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
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.
-
- Critical Access Hospital
- Belfast, ME
- NPI 1841397932
-
- Rural Health Clinic/Center
- Boothbay Harbor, ME
- NPI 1881709202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1093786535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 KEENE WOODS RD",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434519",
"telephone_number": "207-563-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MILES CENTER WAY",
"address_2": "UNIT 2",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "04543",
"telephone_number": "207-563-6391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISMAN",
"first_name": "JUDITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "1533111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00994129",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Damariscotta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.