Organization Active NPI

David W. Weisgerber, MD, PA

  • Internal Medicine Physician
  • Hickory, NC
National Provider Identifier
1790090199
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38242 Issued in NC
Legal business name
DAVID W. WEISGERBER, MD, PA
Practice address
307 10TH Ave NE
Hickory, NC 28601-3833
Phone
(828) 327-9898
Fax
(828) 327-9306
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Patricia Weisgerber
Title
Officemanager
Phone
(828) 327-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 38242 NC Primary

Addresses

Primary practice location

307 10TH Ave NE
Hickory, NC 28601-3833

Mailing address

307 10TH Ave NE
Hickory, NC 28601-3833
Phone (828) 327-9898

Other practice location 1

321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-5504

Other identifiers 2

IdentifierTypeStateIssuer
204052OtherMEDICARE PTAN
8986338MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100830000439 NC Part B Supplier - Clinic/Group Practice 1355465246 Receives reassigned benefits from 1 practitioner
Practice locations: Hickory, NC

National Provider Directory

National Provider Directory

Locations

307 10th Ave NE
Hickory, NC 28601
Phone (828) 327-9898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1790090199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 10TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013833",
            "telephone_number": "828-327-9898",
            "fax_number": "828-327-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 10TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013833",
            "telephone_number": "828-327-9898",
            "fax_number": "828-327-9306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Mulberry St SW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455720",
            "country_code": "US",
            "telephone_number": "828-757-5504",
            "fax_number": "828-757-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID W. WEISGERBER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISGERBER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICEMANAGER",
        "authorized_official_telephone_number": "828-327-9898"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "38242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "204052",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8986338",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.