Peter L. Weingarten MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0022177 Issued in CO

Legal business name

PETER L. WEINGARTEN MD PC

Practice address

1411 S Potomac St Ste 400
Aurora, CO 80012-4540

Phone

(303) 671-2122

Fax

(303) 671-2122

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Gayla Dawn Clark, NCMA

Title

Medical/Personal Assistant

Phone

(303) 671-2122

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1972014785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST STE 400",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124540",
            "telephone_number": "303-671-2122",
            "fax_number": "303-671-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST STE 400",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124540",
            "telephone_number": "303-671-2122",
            "fax_number": "303-671-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER L. WEINGARTEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GAYLA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MEDICAL/PERSONAL ASSISTANT",
        "authorized_official_telephone_number": "303-671-2122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NCMA"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "0022177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ATN54776",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Personal Touch Therapies, PC
• Jessica Nicole Persson, MD
• Brittany Marie Perzia, MD
• Jamie Peschke
• Dawanda R Pesicka, PA-C
• Jennifer L Peterman, COTA
• Shalynn Peterman, RBT
• Bruce R Peters, MD
• Danielle Peters, LCSW
• Laura Peters, NP

• Medical Specialty Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.