MEDICARE: DR. PHILIP L WEISFELDER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35-075181	OH
2	208M00000X	Hospitalist Physician	35-075181	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110226499	OTHER	OH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043285224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP L WEISFELDER MD

Provider Business Mailing Address
First Line	:	PO BOX 632832
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-2832
Country	:	US
Telephone Number	:	513-585-2410
Fax Number	:	513-793-1032

Provider Business Practice Location Address
First Line	:	151 W GALBRAITH RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45216-1015
Country	:	US
Telephone Number	:	513-418-2639
Fax Number	:	513-418-2516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	06/18/2020

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Directions to “ DR. PHILIP L WEISFELDER MD” Practice Location

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