Michael Wegener, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

200500885 Issued in NC

Practice address

97 NC-125
Roanoke Rapids, NC 27870

Phone

(252) 537-1933

Fax

(252) 537-1936

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Roanoke Valley Health Services Inc

  • Rural Health Clinic/Center
  • Roanoke Rapids, NC
  • NPI 1720198369
  NPD
• Roanoke Valley Surgical Assoc

  • Surgery Physician
  • Roanoke Rapids, NC
  • NPI 1841241536
  NPD (past)
• Surgical Practice, LTD

  • Surgery Physician
  • Naperville, IL
  • NPI 1174622971
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1174595524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PROFESSIONAL PARK",
            "address_2": "STE C",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652501",
            "telephone_number": "919-603-0368",
            "fax_number": "919-603-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 NC-125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "27870",
            "telephone_number": "252-537-1933",
            "fax_number": "252-537-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGENER",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200500885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902194",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Dayon Watkins, LPC, LCAS-A
• Tonya Watson, LCSWA
• We R One LLC
• Lashawn Antoinette Weaver-Lee
• Sharon W Weaver
• Wellcraft Health PLLC
• Suzanne E Whiddon, N.P.
• April Whitaker, LCSW-A
• Jalesa Manley Whitaker
• Vivian H White-Jones, MED., CCC-SLP

• Surgery Physician in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.