Active NPI
Christine Marie Weckerle, M.D.
- Internal Medicine Physician
- Williamsville, NY
National Provider Identifier
1558339093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 175914-1
- Practice address
- 1540 Maple Rd
Williamsville, NY 14221-3647 - Phone
- (716) 510-1629
- NPI assigned
- Mar 10, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 175914-1 | NY | Primary |
Addresses
Primary practice location
1540 Maple Rd
Williamsville, NY 14221-3647
Mailing address
43 Timberlake Dr
Orchard Park, NY 14127-3573
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0408452 | Other | NY | IHA PROVIDER NUMBER |
| 00010186702 | Other | NY | UNIVERA PROVIDER NUMBER |
| 2590704 | Other | NY | GHI PROVIDER NUMBER |
| 000527029002 | Other | NY | BLUE CROSS AND BLUE SHIEL |
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 |
|---|---|---|---|
| 175914-1 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1558339093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 TIMBERLAKE DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141273573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 MAPLE RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213647",
"telephone_number": "716-510-1629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WECKERLE",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "175914-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA PROVIDER NUMBER",
"identifier": "0408452",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA PROVIDER NUMBER",
"identifier": "00010186702",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER NUMBER",
"identifier": "2590704",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "000527029002",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.