Gary A Weisenberger, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35050637 Issued in OH

Practice address

2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325

Phone

(513) 246-7000

Fax

(513) 246-5627

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Trihealth G LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1295862944

  Pediatrics

  Medicare reassignment NPD
• Trihealth G, LLC

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1184023640
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1265527477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WESLEY AVE",
            "address_2": "STE N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122298",
            "telephone_number": "513-246-7796",
            "fax_number": "513-246-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ANDERSON FERRY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383325",
            "telephone_number": "513-246-7000",
            "fax_number": "513-246-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENBERGER",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35050637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0558169",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Weis
• Patricia Weisbach
• Carolyn G Weisbecker, OTR/L
• Teresa Weisbrod, LPCC
• Melissa Weisbrodt, APN, RN, MSN
• Megan Jo Weisenberger, DMD
• Ronald J. Weisenberger, M.D.
• Skylar Weisenborn, LISW
• Melissa Renee Weisfelder, PHARM D, RPH
• Philip L Weisfelder, MD

• Pediatrics Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.