Healthcare Provider Details

I. General information

NPI: 1841228772
Provider Name (Legal Business Name): DAVID CHARLES WEIL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAVID C WEIL MD

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3823 TRUEMAN CT
HILLIARD OH
43026-2496
US

IV. Provider business mailing address

1087 DENNISON AVE STE 7
COLUMBUS OH
43201-3201
US

V. Phone/Fax

Practice location:
  • Phone: 614-876-9558
  • Fax: 614-876-9590
Mailing address:
  • Phone: 614-459-2906
  • Fax: 614-459-2932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.071801
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: