David Allen Wight, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-100362 Issued in IL

Practice address

7019 Rote Rd Ste 105
Rockford, IL 61107-2611

Phone

(815) 381-0900

NPI assigned

Aug 7, 2007

Last updated

Jul 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Psychiatry

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1740471317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7019 ROTE RD STE 105",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072611",
            "telephone_number": "815-381-0900",
            "fax_number": "815-395-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7019 ROTE RD STE 105",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072611",
            "telephone_number": "815-381-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-100362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G41805",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gena Whitson, LCPC
• Christine Grace Wholey, MT-BC
• Marilyn Kendrick Wholey, MS,CCC/SLP,L
• Amanda Wieland, LSW
• Wight Optometric PC (american vision center)
• Renee Wihlborg
• Wilderness & Wonder Counseling PLLC
• Teresa C. Wilkins
• Taylor Wilkinson, OD
• Rashanda Will, LCPC, HHP

• Psychiatry Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.

Verify at the official NPI Registry.