Provider Demographics
NPI:1811174808
Name:SHELDON FRANK WEISSMEYER, DPM
Entity type:Organization
Organization Name:SHELDON FRANK WEISSMEYER, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:WEISSMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:301-384-6428
Mailing Address - Street 1:13030 OLD COLUMBIA PIKE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-5226
Mailing Address - Country:US
Mailing Address - Phone:301-384-6428
Mailing Address - Fax:301-384-0366
Practice Address - Street 1:13030 OLD COLUMBIA PIKE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-5226
Practice Address - Country:US
Practice Address - Phone:301-384-6428
Practice Address - Fax:301-384-0366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD523213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0894180001Medicare NSC