Peachtree ENT & Facial Plastics PA

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

2007-01919 Issued in NC

Legal business name

PEACHTREE ENT & FACIAL PLASTICS PA

Practice address

145 Medical Park Lane
Suite J
Murphy, NC 28906-6663

Phone

(828) 837-3223

Fax

(828) 837-7706

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard Todd Weisenburger, D.O.NPI 1730177411

Title

President/Owner

Phone

(828) 837-3223

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Todd Weisenburger, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Murphy, NC
  • NPI 1730177411
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1255504924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MEDICAL PARK LANE",
            "address_2": "SUITE J",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066663",
            "telephone_number": "828-837-3223",
            "fax_number": "828-837-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MEDICAL PARK LANE",
            "address_2": "SUITE J",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066663",
            "telephone_number": "828-837-3223",
            "fax_number": "828-837-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE ENT & FACIAL PLASTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "WEISENBURGER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "828-837-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2007-01919",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NC",
            "license": "2007-01919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908853",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Anderson-Luke, O.D., P.a.
• Audry Johnson Parker
• Parker's Drug Store, Inc
• Parker's Drug Store, Inc (Parker's of Peachtree)
• Sarah Lou Pattison, RBT
• Peachtree Pediatrics, PLLC
• Emily Peacock, HIS
• Marion Perry, LCDP LMHC LPC
• Locklie Phillips
• Rebecca Sue Phillips, FNP

• Otolaryngology/Facial Plastic Surgery Physician in Murphy, NC
• Providers in Murphy, NC by specialty
• Otolaryngology/Facial Plastic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.