Active NPI
Robert Weiler Jr., CRNA
- Certified Registered Nurse Anesthetist
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704249038
- Practice address
- 4100 Park Forest Dr
Suite 210
Traverse City, MI 49684-7331 - Phone
- (231) 935-5770
- Fax
- (231) 935-0747
- NPI assigned
- Nov 7, 2014
- Last updated
- Apr 15, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704249038 | MI | Primary |
Addresses
Primary practice location
4100 Park Forest Dr
Suite 210
Traverse City, MI 49684-7331
Mailing address
4100 Park Forest Dr
Suite 210
Traverse City, MI 49684-7331
Phone (231) 935-5770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578969218 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461
1100 E Michigan Ave
Mercy Hospital Grayling
Grayling, MI 49738-1312
Phone (914) 637-2063
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704249038 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesiology Associates of Mid Michigan PC | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Grayling Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of the Lower Peninsula PC | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients |
Locations
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860
1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Grayling, MI
- NPI 1710313648
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Gaylord, MI
- NPI 1376568865
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1740152412
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1104617786
-
- Certified Registered Nurse Anesthetist
- Midland, MI
- NPI 1770668683
-
- Anesthesiology Physician
- Gaylord, MI
- NPI 1518982073
-
dba MHC Great Lakes Plastic Surgery & Skin Center- Petoskey
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
-
dba Munson Healthcare OMH Medical Group-Gaylord
- General Practice Physician
- Gaylord, MI
- NPI 1821064643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Grayling, MI
- NPI 1083010953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1578969218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 PARK FOREST DR",
"address_2": "SUITE 210",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847331",
"telephone_number": "231-935-5770",
"fax_number": "231-935-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 PARK FOREST DR",
"address_2": "SUITE 210",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847331",
"telephone_number": "231-935-5770",
"fax_number": "231-935-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEILER",
"first_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-07",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704249038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578969218",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.