Errin Weisman, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02004107A Issued in IN

Practice address

714 E Main St Ste B
Petersburg, IN 47567-1231

Phone

(812) 441-4290

Fax

(727) 436-3051

NPI assigned

Jun 28, 2011

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Errin Mort Former name

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

Previously, effective Aug 20, 2024 through Aug 20, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1235425299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "OTWELL",
            "state": "IN",
            "postal_code": "475640029",
            "telephone_number": "812-441-4290",
            "fax_number": "727-436-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 E MAIN ST STE B",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475671231",
            "telephone_number": "812-441-4290",
            "fax_number": "727-436-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "ERRIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02004107A",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IN",
            "license": "02004107A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERRIN",
            "last_name": "MORT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gina Schmitt, OTR/L
• Clinton R Shoultz, O.D.
• Nicole L Stevenson, MSN-NPC
• Benjamin Joseph Stillman, DO
• Kristina Thompson
• Josie Whetstone, LSW
• Lily Willis, LSW

• Family Medicine Physician in Petersburg, IN
• Providers in Petersburg, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.