Active NPI
Martin Weyrauch MD a Professional Corporation
- Anesthesiology Physician
- Sutter Creek, CA
National Provider Identifier
1174895577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A22584
- Legal business name
- MARTIN WEYRAUCH MD A PROFESSIONAL CORPORATION
- Practice address
- 14341 Ridge Rd
Sutter Creek, CA 95685-9619 - Phone
- (209) 267-0220
- NPI assigned
- Jan 31, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Henry Martin Weyrauch, MD
- Title
- Owner/President
- Phone
- (209) 267-0220
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Jackson, CA
- NPI 1447346663
-
- Family Medicine Physician
- Jackson, CA
- NPI 1376639583
National Provider Directory
National Provider DirectoryLocations
605 New York Ranch Rd
Jackson, CA 95642
Phone (209) 223-2030
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A22584 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
14341 Ridge Rd
Sutter Creek, CA 95685-9619
Mailing address
14341 Ridge Rd
Sutter Creek, CA 95685-9619
Phone (209) 267-0220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2012.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327968000000",
"number": "1174895577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14341 RIDGE RD",
"city": "SUTTER CREEK",
"state": "CA",
"postal_code": "956859619",
"telephone_number": "209-267-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14341 RIDGE RD",
"city": "SUTTER CREEK",
"state": "CA",
"postal_code": "956859619",
"telephone_number": "209-267-0220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN WEYRAUCH MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-31",
"last_updated": "2012-01-31",
"status": "A",
"authorized_official_last_name": "WEYRAUCH",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "209-267-0220",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A22584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sutter Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.