Organization Active NPI

Weisel Family Practice, PC

  • Family Medicine Physician
  • Mt Pleasant, PA
National Provider Identifier
1104987452
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD020089E Issued in PA
Legal business name
WEISEL FAMILY PRACTICE, PC
Practice address
220 Bessemer Rd
Suite 208
Mt Pleasant, PA 15666-9122
Phone
(724) 547-7440
Fax
(724) 547-7442
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. William Mark Weisel, M.D.
Title
President
Phone
(724) 547-7440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD020089E PA Primary

Addresses

Primary practice location

220 Bessemer Rd
Suite 208
Mt Pleasant, PA 15666-9122

Mailing address

220 Bessemer Rd
Suite 208
Mt Pleasant, PA 15666-9122
Phone (724) 547-7440

Other identifiers 2

IdentifierTypeStateIssuer
DE0458OtherPARAILROAD MEDICARE
0007361280015MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1104987452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BESSEMER RD",
            "address_2": "SUITE 208",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156669122",
            "telephone_number": "724-547-7440",
            "fax_number": "724-547-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BESSEMER RD",
            "address_2": "SUITE 208",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156669122",
            "telephone_number": "724-547-7440",
            "fax_number": "724-547-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISEL FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "WEISEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-547-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD020089E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE0458",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007361280015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.