Mark Weisenburger

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

4785 W Vista Dr
Highland, UT 84003-9585

Phone

(801) 358-6106

NPI assigned

Jan 7, 2025

Last updated

Jan 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1205645843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 W VISTA DR",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039585",
            "telephone_number": "801-358-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 W VISTA DR",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039585",
            "telephone_number": "801-358-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENBURGER",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Wall, COTA/L
• Charles Wesley Walton, MD
• Warnock Premier Health
• Steven J Weaver, OD
• Karla Weisenburger
• Matthew Tyler Whitlock, DO
• Tracie Eyre Whitlock
• Caroline E Williams
• Charles R Willie, RPH
• Todd Robert Wise, PHARM D

• Personal Care Attendant in Highland, UT
• Providers in Highland, UT by specialty
• Personal Care Attendant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.