Individual provider Active NPI

John M Weigand, MD

  • Family Medicine Physician
  • Granville, OH
National Provider Identifier
1780624965
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35060271 Issued in OH
Practice address
590 Newark Granville Rd
Granville, OH 43023-1436
Phone
(888) 531-7444
NPI assigned
Jun 7, 2006
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35060271 OH Primary

Addresses

Primary practice location

590 Newark Granville Rd
Granville, OH 43023-1436

Mailing address

PO Box 378
Granville, OH 43023-0378
Phone (888) 531-7444

Other identifiers 2

IdentifierTypeStateIssuer
2271009MedicaidOH
P00717522OtherRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060428000061 OH Practitioner - Family Practice 9234149758 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skill Doc 101 LLCGroup PAC ID 1658509369, 34 clinicians

Practice addresses (Care Compare)

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skill Doc 101, LLC CurrentSince Dec 18, 2024 Accepting new patients
Pai Participant 1 LLC CurrentSince May 3, 2025 Accepting new patients
Wedgewood Urgent Care, LTD Family Medicine Past Accepting new patients
Immediate Health Associates Past Accepting new patients

Locations

236 3rd St SW
Canton, OH 44702
Phone (330) 754-4431

4580 Stephens Cir NW
Ste 202
Canton, OH 44718
Phone (330) 597-2815

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

Organizations & group practices 5

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1780624965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430230378",
            "telephone_number": "888-531-7444",
            "fax_number": "614-867-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231436",
            "telephone_number": "888-531-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGAND",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35060271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2271009",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00717522",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

Verify at the official NPI Registry.