Individual provider Active NPI

Robert William Wegner, M.D.

  • Specialist
  • Memphis, TN
National Provider Identifier
1467680686
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
46215 Issued in TN
Practice address
6005 Park Ave Ste 112
Saint Francis Center for Surgical Weight Loss
Memphis, TN 38119-5240
Phone
(901) 765-3040
Fax
(901) 765-3049
NPI assigned
Jun 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 46215 TN Primary

Addresses

Primary practice location

6005 Park Ave Ste 112
Saint Francis Center for Surgical Weight Loss
Memphis, TN 38119-5240

Mailing address

6005 Park Ave Ste 112
Saint Francis Center for Surgical Weight Loss
Memphis, TN 38119-5240
Phone (901) 765-3040

Other identifiers 1

IdentifierTypeStateIssuer
103I026675OtherTNPROVIDER TRANSACTION ACCOUNT NUMBER (PTAN)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110210000705 TN Practitioner - General Surgery 9234281346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
69.44
Promoting interoperability
100
Improvement activities
40
Cost
83.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46215TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Blakney Current Accepting new patients
Saint Francis Physician Network, LLC CurrentSince Feb 5, 2018 Accepting new patients
Forever Young Health and Wellness, LLC Past Accepting new patients

Locations

6005 Park Ave
Ste 200
Memphis, TN 38119
Phone (901) 761-2100

6005 Park Ave
Ste 112
Memphis, TN 38119
Phone (901) 761-5885

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

6005 Park Ave
Ste 1010B
Memphis, TN 38119
Phone (901) 765-3040

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1467680686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 112",
            "address_2": "SAINT FRANCIS CENTER FOR SURGICAL WEIGHT LOSS",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195240",
            "telephone_number": "901-765-3040",
            "fax_number": "901-765-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 112",
            "address_2": "SAINT FRANCIS CENTER FOR SURGICAL WEIGHT LOSS",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195240",
            "telephone_number": "901-765-3040",
            "fax_number": "901-765-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGNER",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "46215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCOUNT NUMBER (PTAN)",
            "identifier": "103I026675",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.