Active NPI
Mark Turner Weigel, MD
- Otolaryngology Physician
- Huntersville, NC
National Provider Identifier
1780640540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 28592
- Practice address
- 10305 Hamptons Park Drive
Suite 201
Huntersville, NC 28078-7217 - Phone
- (704) 295-3600
- Fax
- (704) 892-3181
- NPI assigned
- Apr 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 28592 | NC | Primary |
Addresses
Primary practice location
10305 Hamptons Park Drive
Suite 201
Huntersville, NC 28078-7217
Mailing address
6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3600
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 561896112W | Other | NC | CIGNA |
| 6203 | Other | NC | DOCTORS HEALTH PLAN |
| 1041438 | Other | NC | UNITED HEALTHCARE |
| 7187 | Other | NC | WELLPATH |
| 6353 | Other | NC | PARTNERS |
| 040008039 | Other | NC | RAILROAD MEDICARE |
| 100766 | Other | NC | WELLNESS |
| 141021 | Other | NC | COVENTRY |
| 276572 | Other | NC | MAMSI |
| 4201665 | Other | NC | AETNA |
| 10476 | Other | NC | KANAWHA |
| 20097010 | Other | SC | SELECT HEALTH OF SC |
| 53742 | Other | NC | MEDCOST |
| 86328 | Other | NC | BCBS |
| 8986328 | Medicaid | NC | |
| N28592 | Medicaid | SC | |
| 000000295050 | Other | SC | UNISON HEALTH PLAN SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mweigel5881@direct.ceenta.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- mweigel499831@carolinashealthcaresystem.direct-ci.com
- mweigel5881@direct.ceenta.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1780640540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6035 FAIRVIEW RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103256",
"telephone_number": "704-295-3600",
"fax_number": "704-295-3468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10305 HAMPTONS PARK DRIVE",
"address_2": "SUITE 201",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787217",
"telephone_number": "704-295-3600",
"fax_number": "704-892-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIGEL",
"first_name": "MARK",
"middle_name": "TURNER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "28592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "561896112W",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOCTORS HEALTH PLAN",
"identifier": "6203",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1041438",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLPATH",
"identifier": "7187",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "6353",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040008039",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLNESS",
"identifier": "100766",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "141021",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "276572",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4201665",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANAWHA",
"identifier": "10476",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH OF SC",
"identifier": "20097010",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "53742",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86328",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8986328",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N28592",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN SC",
"identifier": "000000295050",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mweigel5881@direct.ceenta.com",
"affiliation": "N",
"address_1": "10305 Hamptons Park Drive",
"address_2": "Suite 201",
"city": "Huntersville",
"state": "NC",
"country_code": "US",
"postal_code": "280787217",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.