Mark a Weight MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MARK A WEIGHT MD PC

Practice address

2355 Coronado St
Idaho Falls, ID 83404-7407

Phone

(208) 523-0303

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Mark A Weight, MDNPI 1396827150

Title

President

Phone

(208) 523-0303

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Weight, MD

  • Orthopaedic Surgery of the Spine Physician
  • Idaho Falls, ID
  • NPI 1396827150
  Medicare reassignment NPD Authorized official
• Lynn J Stromberg, MD

  • Orthopaedic Surgery of the Spine Physician
  • Idaho Falls, ID
  • NPI 1316029176
  NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1578645339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1432",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834031432",
            "telephone_number": "208-552-8770",
            "fax_number": "208-523-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047407",
            "telephone_number": "208-523-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A WEIGHT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "WEIGHT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-523-0303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807218100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manual Solutions PLLC
• Jared K. Manwaring, MD
• Margaret C Huggins Chartered
• Margaret Leverett, Rncnp, PLLC
• Michael Adam Marion, LPN
• Mark a. Tall, P.a.
• Mark Bennett PLLC
• Mark E Freeman M.D. PC
• Mark E Freeman MD PC
• Mark E Hinkson Dermatology PA

• Orthopaedic Surgery Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.