Individual provider Active NPI

Sandra Marie Weakland, DPM

  • Podiatrist
  • Concord, MA
National Provider Identifier
1811986474
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MA1982 Issued in MA
Practice address
54 Baker Avenue Extension
Suite 103
Concord, MA 01742-2189
Phone
(978) 369-5282
Fax
(978) 369-2926
NPI assigned
Oct 17, 2005
Last updated
Mar 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MA1982 MA Primary

Addresses

Primary practice location

54 Baker Avenue Extension
Suite 103
Concord, MA 01742-2189

Mailing address

54 Baker Avenue Extension
Suite 103
Concord, MA 01742-2189
Phone (978) 369-5282

Other identifiers 1

IdentifierTypeStateIssuer
0358177MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000252 MA Practitioner - Podiatry 6305854258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandra M Weakland DPM,PCGroup PAC ID 8224131297, 2 clinicians

Practice addresses (Care Compare)

54 Baker Ave Ext
Suite 301
Concord, MA 01742-2139
Phone (978) 369-5282

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue624
Removal of skin lesions21
Removal of nail tissue1831
Removal or shaving of skin growth1320
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA1982MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra M Weakland DPM,PC Podiatrist CurrentSince Aug 19, 1992 Accepting new patients
Emerson Hospital Current Accepting new patients

Locations

54 Baker Avenue Ext
Ste 103
Concord, MA 01742
Phone (978) 369-5282

54 Baker Avenue Ext
Ste 301
Concord, MA 01742
Phone (978) 369-4468

Interoperability endpoints

  • Direct secure messaging: weakland.sandra.epho@direct.partners.masshiway.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1811986474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXTENSION",
            "address_2": "SUITE 103",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "978-369-5282",
            "fax_number": "978-369-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXTENSION",
            "address_2": "SUITE 103",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "978-369-5282",
            "fax_number": "978-369-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAKLAND",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "MA1982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0358177",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.