Individual provider Active NPI

Richard Todd Weisenburger, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Murphy, NC
National Provider Identifier
1730177411
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
2007-01919 Issued in NC
Practice address
145 Medical Park Lane
Suite J
Murphy, NC 28906-6663
Phone
(828) 837-3223
Fax
(828) 837-7706
NPI assigned
Oct 7, 2005
Last updated
Jul 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2007-01919 NC
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 2007-01919 NC Primary

Addresses

Primary practice location

145 Medical Park Lane
Suite J
Murphy, NC 28906-6663

Mailing address

145 Medical Park Lane
Suite J
Murphy, NC 28906-6663
Phone (828) 837-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080421000455 NC Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Plastic and Reconstructive Surgery 4688560683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology, Plastic and Reconstructive Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

145 Medical Park LN
Suite J
Murphy, NC 28906-6663
Phone (828) 837-3223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision94
Removal of tissue1-10
Removal of skin lesions147
Removal or shaving of skin growth153
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2007-01919NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree ENT & Facial Plastics PA Otolaryngology CurrentSince Feb 4, 2008 Accepting new patients
Accent Physician Specialists, P.a. Otolaryngology/Facial Plastic Surgery Past Accepting new patients

Locations

145 Medical Park Ln
Murphy, NC 28906
Phone (828) 389-3608

145 Medical Park Ln
Ste J
Murphy, NC 28906
Phone (828) 837-1332

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFDEAA/Endpoint/AFDEAA
  • Direct secure messaging: richard.weisenburger@entfp.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1730177411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MEDICAL PARK LANE",
            "address_2": "SUITE J",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066663",
            "telephone_number": "828-837-3223",
            "fax_number": "828-837-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MEDICAL PARK LANE",
            "address_2": "SUITE J",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066663",
            "telephone_number": "828-837-3223",
            "fax_number": "828-837-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENBURGER",
        "first_name": "RICHARD",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2007-01919",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NC",
            "license": "2007-01919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.