Individual provider Active NPI

Jonathan Ernest Weiler, MD

  • Plastic Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1396915047
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD.025994 Issued in LA
Practice address
4212 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70809-9675
Phone
(225) 399-0001
Fax
(225) 399-0008
NPI assigned
Mar 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD.025994 LA Primary

Addresses

Primary practice location

4212 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70809-9675

Mailing address

4212 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70809-9675
Phone (225) 399-0001

Other practice location 1

42078 Veterans Ave Ste H
Hammond, LA 70403-1490
Phone (985) 902-7770

Other practice location 2

42078 Veterans Ave Ste H
Hammond, LA 70403-1490
Phone (985) 902-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20090926000005 LA Practitioner - Plastic and Reconstructive Surgery 6103972567

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.025994LAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weiler Plastic Surgery Plastic Surgery CurrentSince Aug 14, 2009 Accepting new patients

Locations

4212 Bluebonnet Blvd
Ste A
Baton Rouge, LA 70809
Phone (225) 399-0001

42078 Veterans Ave
Ste H
Hammond, LA 70403
Phone (985) 902-7770

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": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1396915047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 BLUEBONNET BLVD",
            "address_2": "STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099675",
            "telephone_number": "225-399-0001",
            "fax_number": "225-399-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 BLUEBONNET BLVD",
            "address_2": "STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099675",
            "telephone_number": "225-399-0001",
            "fax_number": "225-399-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42078 Veterans Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031490",
            "country_code": "US",
            "telephone_number": "985-902-7770",
            "fax_number": "985-902-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42078 Veterans Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031490",
            "country_code": "US",
            "telephone_number": "985-902-7770",
            "fax_number": "985-902-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEILER",
        "first_name": "JONATHAN",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "MD.025994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.