Phyllis Caroline Weldon, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G37196 Issued in CA

Practice address

144 Wild Horse Valley Rd
Novato, CA 94947-3654

Phone

(415) 898-6402

NPI assigned

Dec 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1528203320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WILD HORSE VALLEY RD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473654",
            "telephone_number": "415-898-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 WILD HORSE VALLEY RD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473654",
            "telephone_number": "415-898-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDON",
        "first_name": "PHYLLIS",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G37196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonnee D Weedn, PC, PH.D.
• Taylor Bradley Weil
• Maxwell Weinstein
• Myles Weiss
• Lee Weissman, AU.D.
• Sarah Elizabeth Wenzel, C.P.O.
• Scott Cameron Wertheimer
• John Andrew Wesley, M.D.
• West Coast Hearing LLC
• James Burke Whittlesey, D.C.

• Internal Medicine Physician in Novato, CA
• Providers in Novato, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.