EDWARD C WEISBERGER (NPI# 1649200866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649200866 |
| Entity Type | Individual |
| Full Name | EDWARD C WEISBERGER |
| Credential | M.D. |
| Practice Address |
705 Riley Hospital Dr Suite 0860 Indianapolis IN 46202-5128 |
| Mailing Address |
250 N Shadeland Ave Ste 130 Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3179483226 |
| Practice Fax Number | 3179442443 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2014-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 01029196A | IN | Allopathic & Osteopathic Physicians |
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
01029196A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100062530 | 05 |
| Street Address |
705 RILEY HOSPITAL DR SUITE 0860 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095308 | Laquia Vinson | Dentist | 705 Riley Hospital Dr, Suite 4205, Indianapolis, IN 46202-5109 | 2005-06-30 |
| 1801403928 | Morgan Lewis | Nurse Anesthetist, Certified Registered | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-09-24 |
| 1063028009 | Maham Fatima | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-09-16 |
| 1871105205 | Rosemary Bland | Nurse Practitioner | 705 Riley Hospital Dr, Ri 1134, Indianapolis, IN 46202-5109 | 2020-08-18 |
| 1720699226 | Nancy Marie Dalton | Physician Assistant | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-08-10 |
| 1205446325 | Nadine Al Homsi | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-08-04 |
| 1477162808 | Julia Lamotte | Psychologist | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-31 |
| 1154930626 | Anna Himes | Nurse Practitioner | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| 1750990230 | Victoria H Klee | Genetic Counselor, MS | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| 1134738677 | Jenna Pogorzelski | Dietitian, Registered | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184756074 | W Gregory Chernoff Md PC | Otolaryngology | 9002 N Meridian St, Suite 205, Indianapolis, IN 46260-5381 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437420296 | Enayat K Shirazi | Otolaryngology | 3996 Quail Hill Dr, Richmond, IN 47374-7826 | 2012-01-25 |
| 1376553099 | Steven M Waters | Otolaryngology | 1913 Chester Blvd, Richmond, IN 47374-1212 | 2006-08-08 |
| 1508814740 | Robert Allen Youkilis | Otolaryngology | 12065 Old Meridian, Suite 205, Carmel, IN 46032 | 2006-05-04 |
| 1104120104 | Zormeier Cosmetic Surgery and Longevity Center, LLC | Otolaryngology | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2011-01-05 |
| 1588611537 | Giffin Ent LLC | Otolaryngology | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2006-05-27 |
| 1326097619 | Richard Moss | Otolaryngology | 721 W 13th St, Suite 208, Jasper, IN 47546-1855 | 2006-05-06 |
| 1508814732 | Robert Wayne Stephens | Otolaryngology | 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 | 2006-05-04 |
| 1396703203 | Scott Andrew Hackett | Otolaryngology | 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 | 2006-05-02 |
| 1669445722 | Edward P. Daetwyler | Otolaryngology | 350 W Columbia St, Suite 310, Evansville, IN 47710-1782 | 2006-02-09 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on EDWARD C WEISBERGER.
| 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.