Individual provider Active NPI

Richard Morris Weisman, MD

  • Neurology Physician
  • Towson, MD
National Provider Identifier
1396746640
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0017251 Issued in MD
Practice address
22 West Rd
Ste 101
Towson, MD 21204-2326
Phone
(410) 823-3600
Fax
(410) 823-3605
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0017251 MD Primary

Addresses

Primary practice location

22 West Rd
Ste 101
Towson, MD 21204-2326

Mailing address

22 West Rd
Ste 101
Towson, MD 21204-2326
Phone (410) 796-9606

Other identifiers 1

IdentifierTypeStateIssuer
187801800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040407000361 MD Practitioner - Neurology 2860485679 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0017251MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Sep 17, 2017 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Sep 17, 2017 Accepting new patients
International Neurorehabilitation Institute Neurology CurrentSince Aug 20, 2019 Accepting new patients
Maryland Diagnostic Services, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
St. Joseph Physician Enterprise Past Accepting new patients

Locations

1447 York Rd
Ste 508
Lutherville Timonium, MD 21093
Phone (410) 828-4629

1300 York Rd
Ste 300
Lutherville Timonium, MD 21093
Phone (410) 828-4629

7505 Osler Dr
Ste 204
Towson, MD 21204
Phone (410) 427-5555

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

7600 Osler Dr
Ste 407
Towson, MD 21204
Phone (410) 321-9108

Organizations & group practices 6

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1396746640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WEST RD",
            "address_2": "STE 101",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042326",
            "telephone_number": "410-796-9606",
            "fax_number": "410-823-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WEST RD",
            "address_2": "STE 101",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042326",
            "telephone_number": "410-823-3600",
            "fax_number": "410-823-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "RICHARD",
        "middle_name": "MORRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0017251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187801800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.