Organization Active NPI

Jan J Weisberg. MD

  • Otolaryngology Physician
  • Frankfort, KY
National Provider Identifier
1235383472
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
26843 Issued in KY
Legal business name
JAN J WEISBERG. MD
Practice address
5 Physicians Park
Suite #4
Frankfort, KY 40601-4163
Phone
(502) 227-9911
Fax
(502) 226-6455
NPI assigned
Nov 14, 2008
Last updated
Nov 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Dr. Jan J Weisberg, M.D.NPI 1811941107
Title
Physician
Phone
(502) 227-9911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 26843 KY Primary

Addresses

Primary practice location

5 Physicians Park
Suite #4
Frankfort, KY 40601-4163

Mailing address

5 Physicians Park
Suite #4
Frankfort, KY 40601-4163
Phone (502) 227-9911

Other identifiers 2

IdentifierTypeStateIssuer
64268436MedicaidKY
207Y00000XOtherTAXONOMY CODE

National Provider Directory

National Provider Directory

Locations

5 Physicians Park
Ste 4
Frankfort, KY 40601
Phone (502) 227-9911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1235383472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PHYSICIANS PARK",
            "address_2": "SUITE #4",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014163",
            "telephone_number": "502-227-9911",
            "fax_number": "502-226-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PHYSICIANS PARK",
            "address_2": "SUITE #4",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014163",
            "telephone_number": "502-227-9911",
            "fax_number": "502-226-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN J WEISBERG. MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "502-227-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "26843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64268436",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "207Y00000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.