Organization Active NPI

Donald G Weathers MD Inc

  • General Practice Physician
  • Toledo, OH
National Provider Identifier
1821393117
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
44035 Issued in OH
Legal business name
DONALD G WEATHERS MD INC
Practice address
3949 Sunforest CT
Suite 202
Toledo, OH 43623-4454
Phone
(419) 474-1111
Fax
(419) 474-1255
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Donald Gregory Weathers, MDNPI 1407832918
Title
President
Phone
(419) 474-1111

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 44035 OH Primary

Addresses

Primary practice location

3949 Sunforest CT
Suite 202
Toledo, OH 43623-4454

Mailing address

3949 Sunforest CT
Suite 202
Toledo, OH 43623-4454
Phone (419) 474-1111

Other identifiers 1

IdentifierTypeStateIssuer
0400702MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1821393117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 SUNFOREST CT",
            "address_2": "SUITE 202",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234454",
            "telephone_number": "419-474-1111",
            "fax_number": "419-474-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 SUNFOREST CT",
            "address_2": "SUITE 202",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234454",
            "telephone_number": "419-474-1111",
            "fax_number": "419-474-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD G WEATHERS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "WEATHERS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-474-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "44035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400702",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.