Provider Demographics
NPI:1467479444
Name:WEIGLES HILL FAMILY MEDICINE, P.C.
Entity Type:Organization
Organization Name:WEIGLES HILL FAMILY MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CARPENTER
Authorized Official - Last Name:HOLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:412-384-8070
Mailing Address - Street 1:1001 WEIGLES HILL RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:PA
Mailing Address - Zip Code:15037-2137
Mailing Address - Country:US
Mailing Address - Phone:412-384-8070
Mailing Address - Fax:412-384-3008
Practice Address - Street 1:1001 WEIGLES HILL RD
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:PA
Practice Address - Zip Code:15037-2137
Practice Address - Country:US
Practice Address - Phone:412-384-8070
Practice Address - Fax:412-384-3008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA121679Medicare ID - Type UnspecifiedMEDICARE GROUP PROVIDER #