MICHAEL WEILERT (NPI# 1629015466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629015466 |
| Entity Type | Individual |
| Full Name | MICHAEL WEILERT |
| Credential | MD |
| Practice Address |
305 Park Creek Dr Clovis CA 93611-4426 |
| Mailing Address |
Po Box 2130 Clovis CA 93613-2130 |
| Practice Telephone | 5593262815 |
| Practice Fax Number | 5593262801 |
| Mailing Telephone | 5593262815 |
| Mailing Fax Number | 5593262801 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G38379 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 220013710 | 01 | |
| CA | 00G383790 | 05 |
| Street Address |
305 PARK CREEK DR |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144277633 | Pathology Associates | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2006-05-28 |
| 1699161729 | Sierra Pathology Laboratory Inc | Clinical Medical Laboratory | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2015-04-15 |
| 1376987941 | Roberto Alvaro Allam Taguibao | Pathology | 305 Park Creek Dr, Clovis, CA 93611 | 2013-04-25 |
| 1114282076 | Charay Jennings-dover | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2012-07-06 |
| 1790063030 | Sha Zhang | Pathology | 305 Park Creek Dr, Clovis, CA 93611 | 2011-08-03 |
| 1053610410 | Jessica Farrell | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2011-03-23 |
| 1982858395 | Calvin Kuan Jung Chen | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2008-11-12 |
| 1851558035 | Tricia L Pua | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2008-05-16 |
| 1417120502 | Nikolaj P Lagwinski | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2008-04-09 |
| 1134333511 | Stevan Knezevich | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2007-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013035096 | David Andrew Barrett | Pathology | 2944 Duncan Ave, Clovis, CA 93611-5076 | 2007-03-27 |
| 1083784177 | Professional Pathology Services PC | Pathology | 2100 N Mlk Blvd, Plains Regional Medical Center, Clovis, NM 88101 | 2006-11-08 |
| 1144277633 | Pathology Associates | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2006-05-28 |
| 1164414645 | John David Harris | Pathology | 2100 N Martin Luther King Blvd, Clovis, NM 88101 | 2005-08-19 |
| 1376987941 | Roberto Alvaro Allam Taguibao | Pathology | 305 Park Creek Dr, Clovis, CA 93611 | 2013-04-25 |
| 1790063030 | Sha Zhang | Pathology | 305 Park Creek Dr, Clovis, CA 93611 | 2011-08-03 |
| 1053610410 | Jessica Farrell | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2011-03-23 |
| 1982858395 | Calvin Kuan Jung Chen | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2008-11-12 |
| 1851558035 | Tricia L Pua | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2008-05-16 |
| 1417120502 | Nikolaj P Lagwinski | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2008-04-09 |
| Find all providers in CLOVIS | ||||
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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.