Individual provider Active NPI

Robert T Weigand, MD

  • Medical Oncology Physician
  • St Joseph, MO
National Provider Identifier
1952379679
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
R1H74 Issued in MO
Practice address
902 N Riverside Rd
Ste 200
St Joseph, MO 64507-2559
Phone
(816) 271-1301
Fax
(816) 271-1302
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 19283 KY
Medical Oncology Physician 207RX0202X R1H74 MO Primary

Addresses

Primary practice location

902 N Riverside Rd
Ste 200
St Joseph, MO 64507-2559

Mailing address

902 N Riverside Rd
Ste 200
St Joseph, MO 64507-2559
Phone (816) 271-1301

Other identifiers 5

IdentifierTypeStateIssuer
P00859663OtherMORR MEDICARE
613952OtherKSBCBS OF KS FOR MO LOCATIO
100113510BMedicaidKS
13452010OtherMOBLUE CROSS BLUE SHIELD
1952379679MedicaidMO

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 Medicine

State licenses

LicenseStateTypeSpecialty
19283KYMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Oncology Inc Current Accepting new patients
St. Joseph Oncology, Inc. PastSince May 1, 1983 Accepting new patients
Midwestern Health Management, Inc. Past Accepting new patients

Locations

902 N Riverside Rd
Ste 200
Saint Joseph, MO 64507
Phone (816) 271-1301

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1952379679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N RIVERSIDE RD",
            "address_2": "STE 200",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "645072559",
            "telephone_number": "816-271-1301",
            "fax_number": "816-271-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N RIVERSIDE RD",
            "address_2": "STE 200",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "645072559",
            "telephone_number": "816-271-1301",
            "fax_number": "816-271-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGAND",
        "first_name": "ROBERT",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KY",
            "license": "19283",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "R1H74",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00859663",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS FOR MO LOCATIO",
            "identifier": "613952",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113510B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "13452010",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952379679",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.