Joel Tracy Weigand, MD
Individual provider Active NPI Family Medicine Physician · Wellington, KS
NPI 1184615353 · NPPES record last updated May 8, 2020
Key facts
- NPI
- 1184615353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14756 (KS)
- Practice address
- 507 E 16TH St Ste 1
Wellington, KS 67152-2828 - Phone
- (620) 326-3301
- Fax
- (620) 326-7086
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14756 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumner Community Hospital LLC | Family Medicine | Current | Accepting new patients |
| Emergency Services of Kansas, PA | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- joel.weigand@khindirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14756 | KS | Yes |
Addresses
Primary practice location
507 E 16TH St Ste 1
Wellington, KS 67152-2828
Mailing address
507 E 16TH St Ste 1
Wellington, KS 67152-2828
Phone (620) 326-3301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14746 | Other | COVENTRY | |
| 1475 | Other | KS | BCBS |
| 080048662 | Other | RAILROAD MEDICARE | |
| 4096976 | Other | AETNA | |
| 993 | Other | KS | PREFERRED PLUS OF KANSAS |
| 100083730A | Medicaid | KS | |
| 1437283991 | Other | GROUP NPI | |
| CS5682 | Other | RAILROAD GROUP ID |
Other providers in Wellington, KS
- Vision Doctors, LLC
- Erica Nicole Voshell
- Wendy L Walker
- Walmart Inc.
- Garry Wartick
- Wellington Care and Rehabilitation Center, LLC
- Wellington Family Dentistry
- Wellington Family Practice Clinic LLP
- Wellington Operator, LLC
- Terrie Westfahl-Meier
All providers in Wellington, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.