NPIMap

Organization Active NPI

Meadville Surgical Associates PC

  • Surgery Physician
  • Meadville, PA
National Provider Identifier
1801884796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD054547L Issued in PA
Legal business name
MEADVILLE SURGICAL ASSOCIATES PC
Practice address
765 Liberty St
Suite 311
Meadville, PA 16335-2566
Phone
(814) 337-6602
Fax
(814) 336-5307
NPI assigned
Oct 13, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christopher Joseph Weibel, MDNPI 1689661514
Title
President
Phone
(814) 337-6602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD054547L PA Primary

Addresses

Primary practice location

765 Liberty St
Suite 311
Meadville, PA 16335-2566

Mailing address

765 Liberty St
Suite 311
Meadville, PA 16335-2566
Phone (814) 337-6602

Other identifiers 1

IdentifierTypeStateIssuer
01746521MedicaidPA

National Provider Directory

National Provider Directory

Locations

765 Liberty St
Ste 311
Meadville, PA 16335
Phone (814) 337-6602

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801884796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 LIBERTY ST",
            "address_2": "SUITE 311",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352566",
            "telephone_number": "814-337-6602",
            "fax_number": "814-336-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 LIBERTY ST",
            "address_2": "SUITE 311",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352566",
            "telephone_number": "814-337-6602",
            "fax_number": "814-336-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADVILLE SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEIBEL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-337-6602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD054547L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01746521",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.