Individual provider Active NPI

Donald 'Charles' Ned Weckesser, MD

  • Specialist
  • Sevierville, TN
National Provider Identifier
1770536336
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000028080 Issued in TN
Practice address
215 Forks of the River Pkwy
Suite 2
Sevierville, TN 37862-3410
Phone
(865) 908-2838
Fax
(865) 908-6179
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000028080 TN Primary

Addresses

Primary practice location

215 Forks of the River Pkwy
Suite 2
Sevierville, TN 37862-3410

Mailing address

215 Forks of the River Pkwy
Suite 2
Sevierville, TN 37862-3410
Phone (865) 908-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20151215001580 TN Order and Referring Only - Family PracticePractitioner - Family Practice 4789694365

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000028080TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Leconte Medical Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1770536336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FORKS OF THE RIVER PKWY",
            "address_2": "SUITE 2",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623410",
            "telephone_number": "865-908-2838",
            "fax_number": "865-908-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FORKS OF THE RIVER PKWY",
            "address_2": "SUITE 2",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623410",
            "telephone_number": "865-908-2838",
            "fax_number": "865-908-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECKESSER",
        "first_name": "DONALD 'CHARLES'",
        "middle_name": "NED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000028080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.