Individual provider Active NPI

Elsie Wang Weiler, M.D.

  • General Practice Physician
  • Edina, MN
National Provider Identifier
1124211867
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
50466 Issued in MN
Practice address
4512 Edina Blvd
Edina, MN 55424-1134
Phone
(952) 221-4461
NPI assigned
Aug 27, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X N/A MN
General Practice Physician 208D00000X 50466 MN Primary

Addresses

Primary practice location

4512 Edina Blvd
Edina, MN 55424-1134

Mailing address

4512 Edina Blvd
Edina, MN 55424-1134
Phone (952) 221-4461

Other practice location 1

Dept. of Anesthesiology, Univ. of Minnesota
B-515 Mayo, 420 Delaware St., MMC
Minneapolis, MN 55455
Phone (612) 624-9990

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

Practice roles

OrganizationSpecialtyStatusNew patients
Axness Chiropractic PLLC CurrentSince Apr 20, 2020 Accepting new patients

Locations

7350 Clearwater Rd
Baxter, MN 56425
Phone (218) 454-5050

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124211867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 EDINA BLVD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241134",
            "telephone_number": "952-221-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 EDINA BLVD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241134",
            "telephone_number": "952-221-4461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Dept. of Anesthesiology, Univ. of Minnesota",
            "address_2": "B-515 Mayo, 420 Delaware St., MMC",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55455",
            "country_code": "US",
            "telephone_number": "612-624-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEILER",
        "first_name": "ELSIE",
        "middle_name": "WANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "50466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.