Active NPI
Albert Charles Weed III, M.D.
- Surgery Physician
- Salem, VA
National Provider Identifier
1881683217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101226958
- Practice address
- 1970 Roanoke Blvd
Salem Vamc (112)
Salem, VA 24153 - Phone
- (540) 982-2463
- Fax
- (540) 983-1090
- NPI assigned
- Oct 18, 2005
- Last updated
- Jul 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101226958 | VA | Primary |
Addresses
Primary practice location
1970 Roanoke Blvd
Salem Vamc (112)
Salem, VA 24153
Mailing address
1970 Roanoke Blvd
Salem Vamc (112)
Salem, VA 24153
Phone (540) 982-2463
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030600100 | Other | VA | MEDICARE |
| 1881683217 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101226958 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis Gale Physicians LLC | Current | Accepting new patients |
Locations
1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Salem, VA
- NPI 1902977705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1881683217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 ROANOKE BLVD",
"address_2": "SALEM VAMC (112)",
"city": "SALEM",
"state": "VA",
"postal_code": "24153",
"telephone_number": "540-982-2463",
"fax_number": "540-983-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 ROANOKE BLVD",
"address_2": "SALEM VAMC (112)",
"city": "SALEM",
"state": "VA",
"postal_code": "24153",
"telephone_number": "540-982-2463",
"fax_number": "540-983-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEED",
"first_name": "ALBERT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101226958",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1030600100",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881683217",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.