Active NPI
Donald G Weathers MD Inc
- General Practice Physician
- Toledo, OH
National Provider Identifier
1821393117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 44035
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Gregory Weathers, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0400702 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Adult Medicine Physician
- Toledo, OH
- NPI 1407832918
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.