Jan J. Weisberg, M.D.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

26843 Issued in KY

Practice address

5 Physicians Park
Suite 4
Frankfort, KY 40601-4163

Phone

(502) 227-9911

Fax

(502) 226-6455

NPI assigned

May 20, 2006

Last updated

Jul 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jan J Weisberg. MD

  • Otolaryngology Physician
  • Frankfort, KY
  • NPI 1235383472
  NPD (past) Authorized official
• Central Kentucky Head & Neck Surgical Associates, PSC

  • Otolaryngology Physician
  • Paris, KY
  • NPI 1548311806
  NPD (past)
• Family Medicine Associates of Frankfort PLLC

  • Family Medicine Physician
  • Frankfort, KY
  • NPI 1104151943
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1811941107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PHYSICIANS PARK",
            "address_2": "SUITE 4",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014163",
            "telephone_number": "502-227-9911",
            "fax_number": "502-226-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PHYSICIANS PARK",
            "address_2": "SUITE 4",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014163",
            "telephone_number": "502-227-9911",
            "fax_number": "502-226-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBERG",
        "first_name": "JAN",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "KY",
            "license": "26843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64268436",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT. OF LABOR",
            "identifier": "311406300",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "611166127",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000049298",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010026106",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA HEALTH",
            "identifier": "1163158",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh Walton, RN
• Tamiera S Ware, LCSW
• Madeleine Watson, PHARMD
• Chassidy Weatherford, APRN
• Sarah Lewis Webb, APRN
• Abigail Marie Wells, LPCA
• Dorothy Hollingsworth West, MA, CAP, LPCC
• Western Hills High School Clinic
• Westridge Elementary School Clinic
• Westside Family Chiropractic

• Otolaryngology/Facial Plastic Surgery Physician in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.