Organization Active NPI

Martin Weyrauch MD a Professional Corporation

  • Anesthesiology Physician
  • Sutter Creek, CA
National Provider Identifier
1174895577
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A22584 Issued in CA
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.

National Provider Directory

National Provider Directory

Locations

605 New York Ranch Rd
Jackson, CA 95642
Phone (209) 223-2030

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A22584 CA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.