GLEN A WEISGERBER (NPI# 1760450134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760450134 |
| Entity Type | Individual |
| Full Name | GLEN A WEISGERBER |
| Credential | MD |
| Practice Address |
100 S 5th St Auburn IL 62615-1402 |
| Mailing Address |
100 S 5th St Po Box 227 Auburn IL 62614-1402 |
| Practice Telephone | 2174386175 |
| Practice Fax Number | 2174386550 |
| Mailing Telephone | 2174386175 |
| Mailing Fax Number | 2174386550 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2010-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036061310 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036061310 | 05 | |
| IL | CLIA | 14D0435318 | 01 |
| Street Address |
100 S 5TH ST |
| City | AUBURN |
| State | IL |
| Zip Code | 62615-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124337605 | Glen A Weisgerber Md Sc | Family Medicine | 100 S 5th St, Auburn, IL 62615-1402 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881027803 | Andrea Elise O'dell | Pharmacist | 414 N. 5th Street, Auburn, IL 62615 | 2013-08-13 |
| 1437419744 | Diane Marie Hagemann | Pharmacist | 15011 Woodland Trail Drive, Auburn, IL 62615 | 2012-05-21 |
| 1407034721 | Andrea R Graham | Physical Therapist | 412 West Jefferson Street, Auburn, IL 62615 | 2008-02-08 |
| 1841417052 | Ma. Marissa Remolana Acharon | Occupational Therapist | 304 W Maple Avenue, Auburn, IL 62615 | 2007-04-19 |
| 1346785672 | Auburn Dental Care | Dentist | 500 E Jackson St, Auburn, IL 62615 | 2016-12-22 |
| 1972114551 | Chelsea R Black | Dental Hygienist | 428 N 8th St, Auburn, IL 62615-1006 | 2020-08-16 |
| 1467001214 | Lauren Elizabeth Sabo | Nurse Practitioner | 906 W North St, Auburn, IL 62615-1046 | 2019-09-04 |
| 1124134721 | Auburn Comm Unit School Dist 10 | Local Education Agency (LEA) | 606 W North St, Auburn, IL 62615-1144 | 2006-08-23 |
| 1174698799 | Auburn Area Ambulance Service | Ambulance | 200 W Washington St, Auburn, IL 62615-1149 | 2006-11-21 |
| 1821098211 | Auburn Nursing and Rehabilitation | Skilled Nursing Facility | 304 W Maple Ave, Auburn, IL 62615-1177 | 2005-07-28 |
| Find all providers in zip 62615 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780117200 | Dekalb Memorial Hospital Inc | Family Medicine | 1061 Smaltz Way, Auburn, IN 46706-9599 | 2017-04-11 |
| 1235492182 | Mark D Garcia | Family Medicine | 205 10th St Ne Ste 200, Auburn, WA 98002 | 2012-06-15 |
| 1508127796 | Family Health Clinic, Inc | Family Medicine | 1456 Opelika Rd, Auburn, AL 36830-3318 | 2012-06-04 |
| 1194052506 | Access Healthcare, Pllc | Family Medicine | 1402 Lake Tapps Parkway East, Suite F 106, Auburn, WA 98092-8157 | 2009-11-05 |
| 1407099286 | Primary Medicine Associates, LLC | Family Medicine | 890 N Dean Rd, Suite 500, Auburn, AL 36830-9440 | 2009-04-09 |
| 1952560765 | Sarat Meka | Family Medicine | 1518 Professional Parkway, Suite A, Auburn, AL 36830 | 2008-06-06 |
| 1952569626 | Johnny Dale Stackhouse | Family Medicine | 910 S Donahue Dr, Auburn, AL 36832-2975 | 2008-05-29 |
| 1831306000 | Louis James Fisher Jr. | Family Medicine | 8436 Wise Rd, Auburn, CA 95603-9734 | 2007-05-17 |
| 1255547352 | Armstrong Family Medicine PC | Family Medicine | 1310 E 7th St Ste G, Auburn, IN 46706-2518 | 2007-05-15 |
| 1205056587 | Auburn Primary Care PC | Family Medicine | 12 7th Street, Auburn, GA 30011 | 2007-04-27 |
| Find all providers in AUBURN | ||||
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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.