James L Weatherhead MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAMES L WEATHERHEAD MD LLC

Practice address

1005 W Green St
Suite G100
Hastings, MI 49058-1712

Phone

(269) 948-7820

Fax

(269) 948-2458

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Lee Weatherhead, M.D.

Title

Owner

Phone

(269) 948-7820

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1184894644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W GREEN ST",
            "address_2": "SUITE G100",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581712",
            "telephone_number": "269-948-7820",
            "fax_number": "269-948-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W GREEN ST",
            "address_2": "SUITE G100",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581712",
            "telephone_number": "269-948-7820",
            "fax_number": "269-948-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L WEATHERHEAD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "WEATHERHEAD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-948-7820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0800822151",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0800822151",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209975510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Rose Hurt, NP
• Internal Medicine Associates
• Tiffany R Jackson, NP
• Elizabeth Jados
• James C. Peurach DDS, P.C.
• Joseph Jandernoa
• Lauren Jansheski, LMSW, QIDP, QMHP
• Devin Jenkins
• Sarah Johnson, LLMSW
• Kimberly Jones

• Family Medicine Physician in Hastings, MI
• Providers in Hastings, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.