Healthcare Provider Details

I. General information

NPI: 1922109305
Provider Name (Legal Business Name): WALTER REED ARMY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVENUE, N.W.
WASHINGTON DC
20307-8001
US

IV. Provider business mailing address

3119 MCCOMAS AVE
KENSINGTON MD
20895-2238
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-0039
  • Fax:
Mailing address:
  • Phone: 301-949-1181
  • Fax: 301-949-1181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberL3251
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License NumberL3251
License Number StateTX

VIII. Authorized Official

Name: DR. GEORGE WEIGHTMAN
Title or Position: COMMANDING GENERAL
Credential: M.D.
Phone: 202-782-0932