KARL N WEENIG


Address: 1055 N 500 W, Suite 121, Provo, UT 84604-3305
Phone: 8013737350

KARL N WEENIG (NPI# 1740242973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740242973
Entity Type Individual
Full Name KARL N WEENIG
Credential MD
Practice Address 1055 N 500 W
Suite 121
Provo
UT 84604-3305
Mailing Address 1055 N 500 W
Credentialing Department
Provo
UT 84604-3305
Practice Telephone 8013737350
Practice Fax Number 8018125401
Mailing Telephone 8013548225
Mailing Fax Number 8014180941
Enumeration Date 2006-04-04
Last Update Date 2020-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
53765781205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT 870281028000 05
UT EMIA 870281028KWF 01
UT PEHP 89048 01
UT EMIA 870281028KNW 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
555 W Sr 164, Salem, UT 84653 8013737350
700 W 800 N Ste 100, Orem, UT 840576301 8013737350

Office Location

Street Address 1055 N 500 W
SUITE 121
City PROVO
State UT
Zip Code 84604-3305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144223835 Bruce C Mcallister Specialist 1055 N 500 W, Suite 102, Provo, UT 84604-3305 2005-05-27
1922641448 Lilian Silva Dana Nurse Practitioner 1055 N 500 W, Suite. 222, Bldg. C, Provo, UT 84604 2019-10-28
1407373574 Kristie Christensen Nurse Practitioner 1055 N 500 W, Ste 101, Bldg C, Provo, UT 84604-3305 2017-08-29
1942664867 Holly Ann Bishop Michaels Dietitian, Registered 1055 N 500 W, Attn. Credentialing, Provo, UT 84604-3305 2016-04-06
1841650967 Maile Yuzon Physician Assistant 1055 N 500 W, Ste 212, Provo, UT 84604-3305 2016-03-02
1497127658 Kayla Hamrick Lussier Nurse Practitioner 1055 N 500 W, Suite 212, Provo, UT 84604-3305 2015-10-28
1962873281 Ryan Francis Nurse Practitioner 1055 N 500 W, Ste 121, Provo, UT 84604-3305 2015-10-13
1083082283 Leslee Ronald Adams Registered Nurse 1055 N 500 W, Ste 211, Provo, UT 84604-3305 2015-09-04
1750763629 Cydne Suzannah Baird Evans Physician Assistant 1055 N 500 W, Ste 100, Provo, UT 84604-3305 2015-06-26
1073903720 Rosanne Johnson Oliver Nurse Practitioner 1055 N 500 W, Ste 205, Provo, UT 84604-3305 2015-02-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346882107 Abigail Belle Hardy Student in an Organized Health Care Education/Training Program 1190 900 E, Provo, UT 84604 2019-10-14
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1255813325 Hwigeum Jeong Specialist/Technologist Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 2018-09-05
1093203044 Snowcap Smile Studio LLC Dentist 2230 N. University Pkwy Ste 8b, Provo, UT 84604 2018-04-25
1407359078 Ihc Health Services Inc Clinic/Center 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 2018-03-09
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1689180218 Ihc Health Services Inc Pediatrics 395 W Bulldog Blvd Ste 703, Provo, UT 84604 2017-12-19
1396254165 Nicolas Sorensen Massage Therapist 247 West 2230 North #201, Provo, UT 84604 2017-09-25
1437692241 Cirque Lodge Inc Substance Abuse Rehabilitation Facility 3114 E Ida's Road, Sundance, UT 84604 2016-11-28
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922232867 Christopher R. Gordon Family Medicine 1157 N 300 W, Provo, UT 84604-6124 2009-05-06
1043486384 Matthew Craig Evans Family Medicine 1157 N 300 W, #201, Provo, UT 84604-6124 2008-05-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053702431 Weber State University Family Medicine 1001 University Cir, Ogden, UT 84408-5525 2015-02-06
1720169915 Stuart Eliot Willick Family Medicine 1493 Lowell Ave, Park City, UT 84060 2006-10-17
1043210248 Trek Lyons Family Medicine 1300 N 500 E, Suite 130, Logan, UT 84341-2408 2005-07-28
1316323165 Dixie State University Family Medicine 225 S 700 E, St George, UT 84770-3875 2015-08-04
1285013987 Sportsmed Associates LLC Family Medicine 3401 N Center St, Ste 100, Lehi, UT 84043-7497 2015-05-27
1164826665 University of Utah Adult Services Family Medicine 555 Foothill Dr, Salt Lake City, UT 84112-1106 2014-10-14
1164860573 Brett Wayne Martindale Family Medicine 4700 Harrison Blvd, Ogden, UT 84403-4303 2013-06-07
1053631069 Tye Harrison Family Medicine 1350 N 500 E, Logan, UT 84341-2400 2010-06-02
1720303837 Nicholas E Monson Family Medicine 2132 N 1700 W, 230, Layton, UT 84041-7057 2010-03-31
1346478476 Ryan Albert Slater Family Medicine 1184 E 80 N, American Fork, UT 84003-2906 2009-06-26
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Competitor

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City PROVO
Zip Code 84604

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Dataset Information

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.

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