Individual provider Active NPI

Harry C Weiser, MD

  • Neurological Surgery Physician
  • Fargo, ND
National Provider Identifier
1700872157
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
14795 Issued in ND
Practice address
700 1St Ave S
Fargo, ND 58103-1802
Phone
(701) 234-4036
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 20126 MS
Neurological Surgery Physician 207T00000X 14795 ND Primary
Neurological Surgery Physician 207T00000X 039979 GA
Neurological Surgery Physician 207T00000X MD31203 AL
Neurological Surgery Physician 207T00000X ME 117364 FL

Addresses

Primary practice location

700 1St Ave S
Fargo, ND 58103-1802

Mailing address

345 Osprey Ridge CT
Albany, GA 31721-9400
Phone (334) 698-1052

Other practice location 1

1501 N US Highway 441
Suite 1830
The Villages, FL 32159-8999
Phone (352) 751-2803

Other practice location 2

1501 N US Highway 441
Suite 1830
The Villages, FL 32159-8999
Phone (352) 751-2803

Other identifiers 2

IdentifierTypeStateIssuer
000649888DMedicaidGA
P00358730OtherGARR MEDICARE

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
MD31203ALMDNeurological Surgery Physician
ME 117364FLMDNeurological Surgery Physician
20126MSMDNeurological Surgery Physician
14795NDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmyra Brain & Spine Center, LLC Neurological Surgery Past Accepting new patients
Greater Atlanta Neurosurgery PC Neurological Surgery Past Accepting new patients
Albany Neurosurgery Center Neurological Surgery Past Accepting new patients
Albany Bone & Joint Clinic PC Past Accepting new patients

Organizations & group practices 4

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700872157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 OSPREY RIDGE CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219400",
            "telephone_number": "334-698-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 1ST AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031802",
            "telephone_number": "701-234-4036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 N US Highway 441",
            "address_2": "Suite 1830",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321598999",
            "country_code": "US",
            "telephone_number": "352-751-2803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 N US Highway 441",
            "address_2": "Suite 1830",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321598999",
            "country_code": "US",
            "telephone_number": "352-751-2803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISER",
        "first_name": "HARRY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MS",
            "license": "20126",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "ND",
            "license": "14795",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "039979",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "MD31203",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME 117364",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000649888D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00358730",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.