Wegman Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WEGMAN DERMATOLOGY PLLC

Practice address

802 W King St Ste H
Owosso, MI 48867-2100

Phone

(989) 723-8281

Fax

(989) 723-6846

NPI assigned

Mar 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Anthony Wegman I, MDNPI 1962426205

Title

Member

Phone

(989) 725-6768

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Anthony Wegman I, MD

  • Dermatology Physician
  • Owosso, MI
  • NPI 1962426205
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1447951074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W KING ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672121",
            "telephone_number": "989-725-2702",
            "fax_number": "989-720-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W KING ST STE H",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672100",
            "telephone_number": "989-723-8281",
            "fax_number": "989-723-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEGMAN DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "WEGMAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "989-725-6768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaelyn Warren
• William F Weatherhead, DO
• Miranda Louise-Kreiser Weaver, AGNP
• Amy Webber
• Laurie Linette Weber, LMSW
• Patrick Anthony Wegman I, MD
• Weierstahl Chiropractic Clinic, P.C.
• Arndt Raymond Weierstahl, DC CHIROPRACTOR
• Ieesha Welch, LLBSW
• Welcome Home Assisted Living, Inc.

• Dermatology Physician in Owosso, MI
• Providers in Owosso, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.