Travis J Weiszhaar, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA264 Issued in ID

Practice address

37 S 2ND E
Rexburg, ID 83440-1906

Phone

(208) 356-0234

Fax

(208) 356-9141

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Madison Co Memorial HospitalGroup PAC ID 8123016367, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tweiszhaar@direct.madisonmemorial.org

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.

• Madison Co Memorial Hospital

  • Family Medicine Physician
  • Rexburg, ID
  • NPI 1134592017

  ID

  Medicare reassignment Care Compare group
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570
  Care Compare group NPD
• Madison Co Memorial Hospital

  • Psychiatric Hospital Unit
  • Rexburg, ID
  • NPI 1932864642
  Care Compare group
• Madison Co Memorial Hospital

  • Family Medicine Physician
  • Rigby, ID
  • NPI 1356026280
  NPD
• Madison Co Memorial Hospital

  • Orthopaedic Surgery Physician
  • Rexburg, ID
  • NPI 1730602756
  NPD
• Madison Co Memorial Hospital

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1073154266
  NPD (past)
• Medical Imaging Associates of Idaho Falls, Inc

  • Diagnostic Radiology Physician
  • Pocatello, ID
  • NPI 1740225531
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Madison Co Memorial Hospital

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1073154266

  Hospital

  Care Compare affiliation
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1962585752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 S 2ND E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401906",
            "telephone_number": "208-356-0234",
            "fax_number": "208-356-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 S 2ND E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401906",
            "telephone_number": "208-356-0234",
            "fax_number": "208-356-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISZHAAR",
        "first_name": "TRAVIS",
        "middle_name": "J",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8041599100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Creed Simon Webster, LCPC
• Journee Webster, FNP-C
• Linda R Webster, NP
• Scott J Webster
• Rachel Jan Weeks
• Edwin G Wells, M.D.
• Wheeler Insurance Agency
• Regina Whelan
• White Chiropractic Clinic PLLC
• White Pine Ventures

• All providers in Rexburg, ID
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.
• 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.