Organization Active NPI

Donald L Weese, M.D., P.C.

  • Urology Physician
  • Twin Falls, ID
National Provider Identifier
1194763151
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
DONALD L WEESE, M.D., P.C.
Practice address
844 Washington St N
Number 400
Twin Falls, ID 83301-3874
Phone
(208) 735-0007
Fax
(208) 735-0008
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Donald L Weese, M.D.
Title
Physician
Phone
(208) 735-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

844 Washington St N
Number 400
Twin Falls, ID 83301-3874

Mailing address

844 Washington St N
Number 400
Twin Falls, ID 83301-3874
Phone (208) 735-0007

Other identifiers 2

IdentifierTypeStateIssuer
DF7202OtherIDRR MEDICARE
002721500MedicaidID

National Provider Directory

National Provider Directory

Locations

844 Washington St N
Ste 400
Twin Falls, ID 83301
Phone (208) 734-0000

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1194763151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON ST N",
            "address_2": "NUMBER 400",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013874",
            "telephone_number": "208-735-0007",
            "fax_number": "208-735-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON ST N",
            "address_2": "NUMBER 400",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013874",
            "telephone_number": "208-735-0007",
            "fax_number": "208-735-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD L WEESE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WEESE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-735-0007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF7202",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002721500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.