Active NPI
Donald Gregory Weathers, M.D.
- Adult Medicine Physician
- Toledo, OH
National Provider Identifier
1407832918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 35044035
- Practice address
- 3949 Sunforest CT
Suite 202
Toledo, OH 43623-4473 - Phone
- (419) 474-1111
- Fax
- (419) 474-1255
- NPI assigned
- Dec 16, 2005
- Last updated
- Sep 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 35044035 | OH | Primary |
Addresses
Primary practice location
3949 Sunforest CT
Suite 202
Toledo, OH 43623-4473
Mailing address
2200 Jefferson Ave
4TH Floor - Attn: Judy Kornmeier
Toledo, OH 43604-7101
Phone (419) 251-1963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0400702 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35044035 | OH | MD | Adult Medicine Physician |
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.
-
- General Practice Physician
- Toledo, OH
- NPI 1821393117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1407832918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE",
"address_2": "4TH FLOOR - ATTN: JUDY KORNMEIER",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436047101",
"telephone_number": "419-251-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3949 SUNFOREST CT",
"address_2": "SUITE 202",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234473",
"telephone_number": "419-474-1111",
"fax_number": "419-474-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERS",
"first_name": "DONALD",
"middle_name": "GREGORY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "OH",
"license": "35044035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0400702",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.