Organization Active NPI

Randall P Weyrich MD Apmc

  • Otolaryngology Physician
  • Glen Dale, WV
National Provider Identifier
1922011063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
009633 Issued in WV
Legal business name
RANDALL P WEYRICH MD APMC
Practice address
426 8TH St
Suite 202
Glen Dale, WV 26038-1451
Phone
(304) 843-1433
Fax
(304) 843-6956
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Randall P Weyrich, MD
Title
President
Phone
(304) 843-1433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 009633 WV Primary

Addresses

Primary practice location

426 8TH St
Suite 202
Glen Dale, WV 26038-1451

Mailing address

426 8TH St
Suite 202
Glen Dale, WV 26038-1451
Phone (304) 843-1433

National Provider Directory

National Provider Directory

Locations

3314 Henderson Blvd
Ste 201
Tampa, FL 33609

426 8th St
Ste 202
Glen Dale, WV 26038
Phone (304) 843-1433

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922011063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 8TH ST",
            "address_2": "SUITE 202",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381451",
            "telephone_number": "304-843-1433",
            "fax_number": "304-843-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 8TH ST",
            "address_2": "SUITE 202",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381451",
            "telephone_number": "304-843-1433",
            "fax_number": "304-843-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL P WEYRICH MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEYRICH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-843-1433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": "009633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Dale, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.