Individual provider Active NPI

Mark E. Weigley, M.D.

  • Family Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1336147875
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0026614 Issued in FL
Practice address
685 Palm Springs Dr
Suite 1a
Altamonte Springs, FL 32701-7853
Phone
(407) 339-5959
Fax
(407) 339-5951
NPI assigned
Jul 8, 2005
Last updated
Feb 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0026614 FL Primary

Addresses

Primary practice location

685 Palm Springs Dr
Suite 1a
Altamonte Springs, FL 32701-7853

Mailing address

685 Palm Springs Dr
Suite 1a
Altamonte Springs, FL 32701-7853
Phone (407) 339-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20100503000588 FL Practitioner - Family Practice 6002944667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0026614FLMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: mark.weigley@mweigley.ssdirect.aprima.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1336147875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 PALM SPRINGS DR",
            "address_2": "SUITE 1A",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017853",
            "telephone_number": "407-339-5959",
            "fax_number": "407-339-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 PALM SPRINGS DR",
            "address_2": "SUITE 1A",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017853",
            "telephone_number": "407-339-5959",
            "fax_number": "407-339-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGLEY",
        "first_name": "MARK",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0026614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.