Active NPI
William F Weatherhead, DO
- Gastroenterology Physician
- Owosso, MI
National Provider Identifier
1932165347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 5101008153
- Practice address
- 721 N Shiawassee St
Ste 202
Owosso, MI 48867-1632 - Phone
- (517) 332-1200
- Fax
- (517) 351-7122
- NPI assigned
- Apr 25, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 5101008153 | MI | Primary |
Addresses
Primary practice location
721 N Shiawassee St
Ste 202
Owosso, MI 48867-1632
Mailing address
721 N Shiawassee St
Ste 202
Owosso, MI 48867-1632
Phone (517) 332-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101008153 | MI | MD | Gastroenterology Physician |
Interoperability endpoints
- williamweatherhead@memh.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1932165347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 N SHIAWASSEE ST",
"address_2": "STE 202",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488671632",
"telephone_number": "517-332-1200",
"fax_number": "517-351-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 N SHIAWASSEE ST",
"address_2": "STE 202",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488671632",
"telephone_number": "517-332-1200",
"fax_number": "517-351-7122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERHEAD",
"first_name": "WILLIAM",
"middle_name": "F",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "5101008153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.