Organization Active NPI

Andrea K Weed D O Professional Corporation

  • Internal Medicine Physician
  • Carson City, NV
National Provider Identifier
1356532683
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANDREA K WEED D O PROFESSIONAL CORPORATION
Practice address
1007 N Curry St
Carson City, NV 89703-3919
Phone
(775) 841-2100
Fax
(775) 841-7239
NPI assigned
Aug 1, 2007
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. Andrea K Weed, D.O.NPI 1487694030
Title
Owner
Phone
(775) 841-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1007 N Curry St
Carson City, NV 89703-3919

Mailing address

1007 N Curry St
Carson City, NV 89703-3919
Phone (775) 841-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712001328 NV Part B Supplier - Clinic/Group Practice 9133107451 Receives reassigned benefits from 1 practitioner
Practice locations: Carson City, NV

National Provider Directory

National Provider Directory

Locations

1007 N Curry St
#K
Carson City, NV 89703
Phone (775) 841-2100

1007 N Curry St
Ste 300
Carson City, NV 89703

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1356532683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 N CURRY ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033919",
            "telephone_number": "775-841-2100",
            "fax_number": "775-841-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N CURRY ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033919",
            "telephone_number": "775-841-2100",
            "fax_number": "775-841-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA K WEED D O PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "WEED",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-841-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.