Individual provider Active NPI

Joseph S Weisman, MD

  • Neuro-ophthalmology Physician
  • Roanoke, VA
National Provider Identifier
1659324267
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
0101048960 Issued in VA
Practice address
1225 Maple Ave SW
Roanoke, VA 24016-4707
Phone
(540) 345-2020
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101048960 VA
Neuro-ophthalmology Physician 207WX0109X 0101048960 VA Primary

Addresses

Primary practice location

1225 Maple Ave SW
Roanoke, VA 24016-4707

Mailing address

1225 Maple Ave SW
Roanoke, VA 24016-4707
Phone (540) 345-2020

Other identifiers 4

IdentifierTypeStateIssuer
298425OtherBC/BS PROVIDER ID
006300944MedicaidVA
00X723W01OtherMEDICARE PTAN
C10500OtherGROUP PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JWeisman@blueridgeye.updoxdirect.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
New River Dermatology PLC PastSince Jul 1, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jweisman@blueridgeye.updoxdirect.com

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1659324267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MAPLE AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164707",
            "telephone_number": "540-345-2020",
            "fax_number": "540-344-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MAPLE AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164707",
            "telephone_number": "540-345-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101048960",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "VA",
            "license": "0101048960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "298425",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006300944",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00X723W01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C10500",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JWeisman@blueridgeye.updoxdirect.com",
            "affiliation": "N",
            "address_1": "1225 Maple Ave SW",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240164707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.