Provider Demographics
NPI:1023361052
Name:ST THOMAS NEUROLOGY PLLC
Entity Type:Organization
Organization Name:ST THOMAS NEUROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEISHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-775-4666
Mailing Address - Street 1:PO BOX 7307
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-0307
Mailing Address - Country:US
Mailing Address - Phone:340-775-4666
Mailing Address - Fax:
Practice Address - Street 1:9149 ESTATE THOMAS STE 209
Practice Address - Street 2:PARAGON MEDICAL BLD
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-3132
Practice Address - Country:US
Practice Address - Phone:340-775-4666
Practice Address - Fax:340-775-3650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI12442084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty