Provider Demographics
NPI:1841228772
Name:WEIL, DAVID CHARLES (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:CHARLES
Last Name:WEIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:C
Other - Last Name:WEIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1087 DENNISON AVE
Mailing Address - Street 2:STE 7
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3201
Mailing Address - Country:US
Mailing Address - Phone:614-459-2906
Mailing Address - Fax:614-459-2932
Practice Address - Street 1:3823 TRUEMAN CT
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2496
Practice Address - Country:US
Practice Address - Phone:614-876-9558
Practice Address - Fax:614-876-9590
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.071801207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000299731OtherANTHEM BC/BS
OH1844946OtherUNITED HEALTHCARE OF OHIO
OH2137600Medicaid
G84199Medicare UPIN
OHP00147223Medicare ID - Type UnspecifiedRAILRAOD MEDICARE
OH2137600Medicaid