Active NPI
Richard H. Weyer MD PC
- Procedural Dermatology Physician
- Sierra Vista, AZ
National Provider Identifier
1811198310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 11286
- Legal business name
- RICHARD H. WEYER MD PC
- Practice address
- 165 El Camino Real
Sierra Vista, AZ 85635-2807 - Phone
- (520) 458-1787
- Fax
- (520) 458-1519
- NPI assigned
- May 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Helge Weyer, MD
- Title
- Doctor
- Phone
- (520) 458-1787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 11286 | AZ | Primary |
Addresses
Primary practice location
165 El Camino Real
Sierra Vista, AZ 85635-2807
Mailing address
165 El Camino Real
Sierra Vista, AZ 85635-2807
Phone (520) 458-1787
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0019120 | Other | AZ | BLUE CROSS |
| 4127705 | Other | AZ | AETNA |
| E38622 | Other | AZ | STERLING |
| 00022006400 | Other | AZ | DES |
| 121974 | Other | AZ | HEALTHNET |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1811198310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 EL CAMINO REAL",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352807",
"telephone_number": "520-458-1787",
"fax_number": "520-458-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 EL CAMINO REAL",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352807",
"telephone_number": "520-458-1787",
"fax_number": "520-458-1519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD H. WEYER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "WEYER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "HELGE",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "520-458-1787",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "AZ",
"license": "11286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "AZ0019120",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4127705",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STERLING",
"identifier": "E38622",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DES",
"identifier": "00022006400",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "121974",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.