Active NPI
David a Wiegand MD PC
- Otolaryngology Physician
- Camp Hill, PA
National Provider Identifier
1568429033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- DAVID A WIEGAND MD PC
- Practice address
- 207 House Ave
Ste 100
Camp Hill, PA 17011 - Phone
- (717) 761-5556
- Fax
- (717) 761-8166
- NPI assigned
- Apr 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David A Wiegand, MD
- Title
- President
- Phone
- (717) 761-5556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
207 House Ave
Ste 100
Camp Hill, PA 17011
Mailing address
207 House Ave
Ste 100
Camp Hill, PA 17011
Phone (717) 761-5556
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B40010 | Other | PA | HEALTHASSURANCE |
| DE2877 | Other | PA | PALMETTO GBA |
| 02608300 | Other | PA | KEYSTONE HEALTH PLAN |
| 1796749 | Other | PA | HIGHMARK BLUE SHIELD |
| 02608300 | Other | PA | CAPITAL BLUE CROSS |
| B40010 | Other | PA | HEALTHAMERICA |
| 02608300 | Other | PA | KEYSTONE SENIOR BLUE |
| 645B | Other | PA | GEISINGER HEALTH PLAN |
| DE2877 | Other | PA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
207 House Ave
Ste 100
Camp Hill, PA 17011
Phone (717) 761-5556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1568429033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 HOUSE AVE",
"address_2": "STE 100",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "17011",
"telephone_number": "717-761-5556",
"fax_number": "717-761-8166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 HOUSE AVE",
"address_2": "STE 100",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "17011",
"telephone_number": "717-761-5556",
"fax_number": "717-761-8166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A WIEGAND MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WIEGAND",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-761-5556",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHASSURANCE",
"identifier": "B40010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "DE2877",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN",
"identifier": "02608300",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1796749",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02608300",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "B40010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE SENIOR BLUE",
"identifier": "02608300",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "645B",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE2877",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.