DONALD L WEESE, M.D., P.C. (NPI# 1194763151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194763151 |
| Entity Type | Organization |
| Organization Name | DONALD L WEESE, M.D., P.C. |
| Practice Address |
844 Washington St N Number 400 Twin Falls ID 83301-3874 |
| Practice Telephone | 2087350007 |
| Practice Fax Number | 2087350008 |
| Mailing Telephone | 2087350007 |
| Mailing Fax Number | 2087350008 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | DONALD L WEESE (PHYSICIAN) |
| Authorized Official Telephone | 2087350007 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002721500 | 05 | |
| ID | RR MEDICARE | DF7202 | 01 |
| Street Address |
844 WASHINGTON ST N NUMBER 400 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942499165 | Alan Olmstead Md Chtd | Dermatology | 844 Washington St N, Suite 100, Twin Falls, ID 83301-3874 | 2007-10-24 |
| 1164617791 | Laurel L Krupski | Social Worker | 844 Washington St N, Suite 100, Twin Falls, ID 83301-3874 | 2007-09-06 |
| 1518002575 | Samuel H Barker Dc PC | Chiropractor | 844 Washington St N, Ste 400, Twin Falls, ID 83301-3874 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629256573 | Cory Scott Bates | Urology | 775 Pole Line Rd W, Suite 301, Twin Falls, ID 83301-5814 | 2008-02-02 |
| 1952478703 | Jason Ryan Greenhalgh | Urology | 775 Pole Line Rd W, Suite 301, Twin Falls, ID 83301-5814 | 2006-11-29 |
| 1689764698 | Charles L Cutler | Urology | 630 Addison Ave W, Ste 220, Twin Falls, ID 83301 | 2006-10-13 |
| 1730126566 | Snake River Urology, P.C. | Urology | 660 Shoshone St E, Suite 201, Twin Falls, ID 83301-6110 | 2006-06-01 |
| 1891767745 | Glenn D Zausmer | Urology | 775 Pole Line Rd W, Suite 301, Twin Falls, ID 83301-5814 | 2006-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699242123 | Treasure Valley Urology Pllc | Urology | 3090 E Gentry Way Ste 220, Meridian, ID 83642-3550 | 2018-11-02 |
| 1154682565 | Richard Alan Blatter | Urology | 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404-6371 | 2012-06-01 |
| 1750648002 | Jason Orien | Urology | 777 Hospital Way Ste 215, Pocatello, ID 83201-5175 | 2012-04-11 |
| 1972892669 | David Flores | Urology | 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814-2668 | 2011-04-04 |
| 1346407921 | Helen Jia-ru Kuo | Urology | 2855 E. Magic View Drive, Meridian, ID 83642 | 2008-05-21 |
| 1144344391 | Robert W. Bohus, M.d., F.a.c.s. | Urology | 500 S 11th Ave Ste 301, Pocatello, ID 83201-4879 | 2007-03-16 |
| 1346375235 | Edward D Ellison | Urology | 980 Ironwood Dr W, Ste 104, Coeur D' Alene, ID 83814 | 2007-02-22 |
| 1316028889 | Edwin Manley Briggs | Urology | 1316 Harrison Blvd, Boise, ID 83702-3444 | 2006-10-18 |
| 1710097068 | Jared G Heiner | Urology | 3085 E Magic View Dr Ste 140, Meridian, ID 83642-3745 | 2006-08-30 |
| 1033121322 | Timothy Osborn Taylor | Urology | 2330 Coronado St, Idaho Falls, ID 83404-7407 | 2006-08-13 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.