Individual provider Active NPI

William J Weirs, MD

  • Allergy Physician
  • North Charleston, SC
National Provider Identifier
1235174012
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
34694 Issued in SC
Practice address
7510 Northforest Dr
North Charleston, SC 29420-4247
Phone
(843) 572-1600
Fax
(843) 572-1795
NPI assigned
Jun 17, 2006
Last updated
Sep 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 55996 GA
Allergy Physician 207KA0200X 34694 SC Primary

Addresses

Primary practice location

7510 Northforest Dr
North Charleston, SC 29420-4247

Mailing address

7510 Northforest Dr
North Charleston, SC 29420-4247
Phone (843) 572-1600

Other identifiers 6

IdentifierTypeStateIssuer
122225872BMedicaidGA
4047309MedicaidTN
057443724EMedicaidGA
057443724DMedicaidGA
4131299OtherTNBCBS OF TENNESSEE
P00342753OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 25, 2016 through May 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34694SCMDAllergy Physician
55996GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Occupational and Environmental Medicine Allergy Past Accepting new patients
Revolution Health Center PLC Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Emergency Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1235174012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 NORTHFOREST DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294204247",
            "telephone_number": "843-572-1600",
            "fax_number": "843-572-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 NORTHFOREST DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294204247",
            "telephone_number": "843-572-1600",
            "fax_number": "843-572-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIRS",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "55996",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "SC",
            "license": "34694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122225872B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4047309",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057443724E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057443724D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "4131299",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00342753",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.