Individual provider Active NPI

Joshua Stephen Weingartner, M.D.

  • Dermatology Physician
  • Norman, OK
National Provider Identifier
1558655779
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
28508 Issued in OK
Practice address
3960 W. Tecumseh Road
Suite 120
Norman, OK 73072
Phone
(405) 217-3886
Fax
(405) 217-3419
NPI assigned
Jun 6, 2011
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 28508 OK Primary

Addresses

Primary practice location

3960 W. Tecumseh Road
Suite 120
Norman, OK 73072

Mailing address

P.O. Box 722225
Norman, OK 73070
Phone (405) 292-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20150610000208 OK Practitioner - Dermatology 4082935499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yaohan Lam Dermatology PLLCGroup PAC ID 2860611712, 6 clinicians

Practice addresses (Care Compare)

3960 W Tecumseh Rd
Suite 120
Norman, OK 73072-1707
Phone (405) 735-9788

926 SW 107TH St
Oklahoma City, OK 73170-5244
Phone (405) 735-9788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.53 of 100Reported as group
Quality
87.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision60
Removal of skin lesions1545
Removal or shaving of skin growth12
Skin biopsy537

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yaohan Lam Dermatology PLLC Dermatology CurrentSince Sep 1, 2017 Accepting new patients
R&R Dermatology Services PLLC Dermatology Past Accepting new patients

Locations

1290 W Covell Rd
Ste 208
Edmond, OK 73003
Phone (405) 888-5155

3960 W Tecumseh Rd
Ste 120
Norman, OK 73072
Phone (405) 217-3886

926 SW 107th St
Ste 100
Oklahoma City, OK 73170
Phone (405) 735-9788

2201 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 703-4777

926 SW 107th St
#100
Oklahoma City, OK 73170
Phone (405) 735-9788

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1558655779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 722225",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73070",
            "telephone_number": "405-292-5500",
            "fax_number": "405-292-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 W. TECUMSEH ROAD",
            "address_2": "SUITE 120",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73072",
            "telephone_number": "405-217-3886",
            "fax_number": "405-217-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGARTNER",
        "first_name": "JOSHUA",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "28508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.