Individual provider Active NPI

John Hebner Weigel, MD

  • Internal Medicine Physician
  • Prince Frederick, MD
National Provider Identifier
1609937564
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D26358 Issued in MD
Practice address
985 N. Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492
Phone
(410) 535-2005
Fax
(410) 535-4850
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D26358 MD Primary

Addresses

Primary practice location

985 N. Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492

Mailing address

985 Prince Frederick Blvd Ste 201
Prince Frederick, MD 20678-3492
Phone (410) 535-2005

Other identifiers 7

IdentifierTypeStateIssuer
110032504OtherMDRAILROAD MEDICARE
326961200MedicaidMD
2148224OtherMDAETNA PCP HMO
836795OtherMDOPTIMUM CH-MDIPA
42249801OtherMDCAREFIRST OF MD
4461101OtherMDAETNA NON HMO
C0410007OtherDCCAREFIRST OF DC

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

LicenseStateTypeSpecialty
D26358MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn G. Marinelli MD PA Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609937564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD STE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783492",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 N. PRINCE FREDERICK BLVD",
            "address_2": "SUITE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783492",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGEL",
        "first_name": "JOHN",
        "middle_name": "HEBNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D26358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110032504",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326961200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PCP HMO",
            "identifier": "2148224",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CH-MDIPA",
            "identifier": "836795",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD",
            "identifier": "42249801",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "4461101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF DC",
            "identifier": "C0410007",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.