Organization Active NPI

Michael K Weil, MD, Apmc

  • Dermatology Physician
  • Slidell, LA
National Provider Identifier
1730255878
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
12595R Issued in LA
Legal business name
MICHAEL K WEIL, MD, APMC
Practice address
380 Gateway Dr
Slidell, LA 70461-5540
Phone
(985) 690-6600
Fax
(985) 690-9860
NPI assigned
Nov 28, 2006
Last updated
Apr 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Dr. Michael K Weil, M.D.NPI 1780750802
Title
President
Phone
(985) 690-6690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 12595R LA Primary

Addresses

Primary practice location

380 Gateway Dr
Slidell, LA 70461-5540

Mailing address

PO Box 1125
Slidell, LA 70459-1125
Phone (985) 690-6690

Other names 1

  • Acadian Dermatology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070403000067 LA Part B Supplier - Clinic/Group Practice 7113021007 Receives reassigned benefits from 1 practitioner
Practice locations: Slidell, LA

National Provider Directory

National Provider Directory

Locations

380 Gateway Dr
Slidell, LA 70461
Phone (985) 690-6600

380 Gateway Dr
Ste A
Slidell, LA 70461
Phone (985) 690-6600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1730255878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704591125",
            "telephone_number": "985-690-6690",
            "fax_number": "985-690-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 GATEWAY DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615540",
            "telephone_number": "985-690-6600",
            "fax_number": "985-690-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K WEIL, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-690-6690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "12595R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadian Dermatology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.

Verify at the official NPI Registry.