Organization Active NPI

Paul H Weisshaar MD PC

  • Gynecology Physician
  • Burke, VA
National Provider Identifier
1326120130
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0101027569 Issued in VA
Legal business name
PAUL H WEISSHAAR MD PC
Practice address
5206A Rolling Road
Burke, VA 22015
Phone
(703) 978-1777
Fax
(703) 978-6093
NPI assigned
Oct 20, 2006
Last updated
Aug 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Paul Howard Heisshaar, MD
Title
President
Phone
(703) 978-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 0101027569 VA Primary

Addresses

Primary practice location

5206A Rolling Road
Burke, VA 22015

Mailing address

5206 A Rolling Road
Burke, VA 22015
Phone (703) 978-1777

Other identifiers 3

IdentifierTypeStateIssuer
023206OtherVABCBS
1411OtherBCBS
6274668MedicaidVA

National Provider Directory

National Provider Directory

Locations

5206 Rolling Rd
Ste A
Burke, VA 22015
Phone (703) 425-2000

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1326120130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 A ROLLING ROAD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-978-1777",
            "fax_number": "703-978-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206A ROLLING ROAD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-978-1777",
            "fax_number": "703-978-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL H WEISSHAAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "HEISSHAAR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-978-1777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101027569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "023206",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1411",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6274668",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.