Active NPI
Nathanael Cletus Weigel, D.O.
- Family Medicine Physician
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO178280
- Practice address
- 3640 NW Samaritan Dr Ste 220
Corvallis, OR 97330-3784 - Phone
- (541) 768-5300
- NPI assigned
- Apr 1, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PG172017 | OR | |
| Family Medicine Physician | 207Q00000X | DO178280 | OR | Primary |
Addresses
Primary practice location
3640 NW Samaritan Dr Ste 220
Corvallis, OR 97330-3784
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-4906
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nweigel124141@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PG172017 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Independent Osteopathic Manipulation | Family Medicine | Current | Accepting new patients |
Locations
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
-
- Family Medicine Physician
- Corvallis, OR
- NPI 1992549455
-
- Obstetrics & Gynecology Physician
- Corvallis, OR
- NPI 1316212624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1730574245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 NW SAMARITAN DR STE 220",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303784",
"telephone_number": "541-768-5300"
}
],
"practiceLocations": [
{
"address_1": "3600 NW Samaritan Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303737",
"country_code": "US",
"telephone_number": "541-768-4906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIGEL",
"first_name": "NATHANAEL",
"middle_name": "CLETUS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-01",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "PG172017",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO178280",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nweigel124141@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3640 NW Samaritan Dr Ste 220",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973303784",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.