NPIMap

Organization Active NPI

Theresa Weiland DO PA

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1366616716
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-119 Issued in ID
Legal business name
THERESA WEILAND DO PA
Practice address
222 N 2ND St
Suite 201
Boise, ID 83702-6109
Phone
(208) 345-7727
Fax
(208) 345-4689
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Steven Csik
Title
Corp Secretary
Phone
(208) 333-8841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X O-119 ID Primary

Addresses

Primary practice location

222 N 2ND St
Suite 201
Boise, ID 83702-6109

Mailing address

2245 Toluka Way
Boise, ID 83712-8552

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1366616716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 TOLUKA WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST",
            "address_2": "SUITE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026109",
            "telephone_number": "208-345-7727",
            "fax_number": "208-345-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA WEILAND DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "CSIK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CORP SECRETARY",
        "authorized_official_telephone_number": "208-333-8841"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.