Daniel W. Weiswasser, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

221130 Issued in MA

Practice address

230 Main St
Agawam, MA 01001-1838

Phone

(413) 789-8010

Fax

(413) 789-5171

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Riverbend Medical Group, Inc

  dba Trinity Health Of New England Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MA
  • NPI 1639280779
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1437117462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011838",
            "telephone_number": "413-789-8010",
            "fax_number": "413-789-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011838",
            "telephone_number": "413-789-8010",
            "fax_number": "413-789-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISWASSER",
        "first_name": "DANIEL",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "221130",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "221130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2065142",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley M Walker
• Carly Walz
• Joseph A Walz, DMD
• Bernard Wangamati, LPN
• Coretta Andrea Warren, COTA
• Well Adjusted Chiropractic Wellness Center, LLC
• Western Mass Dental Specialty Springfield PC
• Western Mass Periodontics PC
• Charles Scott Weston, M.D.
• Alyson Wilk

• Internal Medicine Physician in Agawam, MA
• Providers in Agawam, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.