Organization Active NPI

Physician Consultants Professional LLC

  • Internal Medicine Physician
  • Carson City, NV
National Provider Identifier
1861273948
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHYSICIAN CONSULTANTS PROFESSIONAL LLC
Practice address
917 Mountain St
Carson City, NV 89703-3819
Phone
(775) 515-0100
Fax
(775) 515-0005
NPI assigned
Oct 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Jayson Weir, MDNPI 1518257138
Title
Physician / Owner
Phone
(775) 515-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

917 Mountain St
Carson City, NV 89703-3819

Mailing address

917 Mountain St
Carson City, NV 89703-3819
Phone (775) 515-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231213002234 NV Part B Supplier - Clinic/Group Practice 3678922861 Receives reassigned benefits from 1 practitioner
Practice locations: Carson City, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2317112Physician Consultants Professional, LLC917 Mountain Street, Carson City, NV 89703Certificate of waiverJan 15, 2027

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.

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1861273948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033819",
            "telephone_number": "775-515-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033819",
            "telephone_number": "775-515-0100",
            "fax_number": "775-515-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN CONSULTANTS PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "775-515-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.