Active NPI
Philip Weighner, M.D.
- Internal Medicine Physician
- Grand Rapids, MI
National Provider Identifier
1710945480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301043675
- Practice address
- 1000 E Paris Ave SE
Suite 260
Grand Rapids, MI 49546-3680 - Phone
- (616) 957-9237
- Fax
- (616) 957-7913
- NPI assigned
- May 3, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301043675 | MI | Primary |
Addresses
Primary practice location
1000 E Paris Ave SE
Suite 260
Grand Rapids, MI 49546-3680
Mailing address
1000 E Paris Ave SE
Suite 260
Grand Rapids, MI 49546-3680
Phone (616) 957-9237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301043675 | MI | MD | Internal Medicine Physician |
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.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1083704233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1710945480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE",
"address_2": "SUITE 260",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463680",
"telephone_number": "616-957-9237",
"fax_number": "616-957-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE",
"address_2": "SUITE 260",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463680",
"telephone_number": "616-957-9237",
"fax_number": "616-957-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIGHNER",
"first_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301043675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.