Richard L Weitzel Jr MD LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

RICHARD L WEITZEL JR MD LLC

Practice address

405 Niles Cortland Rd SE Ste 201
Warren, OH 44484-2460

Phone

(330) 372-2121

Fax

(330) 372-2120

NPI assigned

Mar 24, 2023

Organization subpart

No

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

Authorized official

Name

Richard L Weitzel, MDNPI 1801822648

Title

Sole MBR

Phone

(330) 727-9490

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Leonard Weitzel Jr., M.D.

  • Cardiovascular Disease Physician
  • Warren, OH
  • NPI 1801822648
  Medicare reassignment NPD Authorized official
• Betsy Lee Dorsey, CNP

  • Gerontology Nurse Practitioner
  • Youngstown, OH
  • NPI 1720643224
  Medicare reassignment NPD

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1982307203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NILES CORTLAND RD SE STE 201",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842460",
            "telephone_number": "330-372-2121",
            "fax_number": "330-372-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NILES CORTLAND RD SE STE 201",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842460",
            "telephone_number": "330-372-2121",
            "fax_number": "330-372-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L WEITZEL JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "WEITZEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "330-727-9490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estella Rhinehart, CDCA
• Rhonda'S House Home Health Care Services
• Danielle Rice
• James R Rice, APRN, CNP
• Jason Rich
• Angella Richard, CDCA
• Julie Richards
• Taylor Lynn Richards, OD
• Brittany Richardson
• Mary Rickard, CDCA

• Medical Specialty Clinic/Center in Warren, OH
• Providers in Warren, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.