Kenneth Hooper Weisiger, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

22327 Issued in CO

Practice address

14062 Denver West Pkwy BLDG 52
Ste 150
Lakewood, CO 80401-3187

Phone

(719) 457-6200

Fax

(303) 825-7927

NPI assigned

Mar 28, 2006

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth H Weisiger MD PC

  dba Clear Creek Medical Group

  • Pulmonary Disease Physician
  • Lakewood, CO
  • NPI 1780611079
  Authorized official Same address or phone
• Indian Creek Medical Group Inc

  dba Indian Peaks Medical Group

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1548633670
  NPD

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1376504670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14062 DENVER WEST PKWY BLDG 52",
            "address_2": "STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013187",
            "telephone_number": "719-457-6200",
            "fax_number": "303-825-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14062 DENVER WEST PKWY BLDG 52",
            "address_2": "STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013187",
            "telephone_number": "719-457-6200",
            "fax_number": "303-825-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISIGER",
        "first_name": "KENNETH",
        "middle_name": "HOOPER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "22327",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "22327",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CO",
            "license": "DR.0022327",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C305318",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1223270",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerri Weikel, L.AC.
• Devon Weiler, BSN RN
• Diana R Weinmeister
• Jami Weinstein
• Jenna Weisberg
• Edra Blackburn Weiss, MD
• Heidi Marie Welch, MSN, RN
• Julia Weldon, LMT
• Well-Being Concepts LLC (Well-being Concepts)
• Leanne Beth Wellbrock, CPNP

• Pulmonary Disease Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Pulmonary Disease Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.