Active NPI
Gordon D Weirich, MD
- Family Medicine Physician
- Weyers Cave, VA
National Provider Identifier
1114999216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101-034168
- Practice address
- 1151 Keezletown Rd
Suite 101
Weyers Cave, VA 24486-2337 - Phone
- (540) 234-9241
- Fax
- (540) 234-9200
- NPI assigned
- Feb 2, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101-034168 | VA | Primary |
Addresses
Primary practice location
1151 Keezletown Rd
Suite 101
Weyers Cave, VA 24486-2337
Mailing address
110 Kiln Dr
Harrisonburg, VA 22801
Phone (540) 433-7040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114999216 | Medicaid | VA | |
| 005623057 | Medicaid | VA |
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 |
|---|---|---|---|
| 0101-034168 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1114999216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 KILN DR",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "22801",
"telephone_number": "540-433-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 KEEZLETOWN RD",
"address_2": "SUITE 101",
"city": "WEYERS CAVE",
"state": "VA",
"postal_code": "244862337",
"telephone_number": "540-234-9241",
"fax_number": "540-234-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIRICH",
"first_name": "GORDON",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101-034168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114999216",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005623057",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weyers Cave, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.