Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101041367 | VA |
N | 208600000X | Surgeon | 0101041367 | VA |
Y | 2086S0102X | Surgical Critical Care | 0101041367 | VA |
NPI | 1295702272 |
---|---|
Provider Name | Dr. Leonard J Weireter |
First Address | Norfolk, VA 23501-0936 |
Second Address | Norfolk, VA 23507-1914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 27/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007323905 | (05) | VA |
-019 | TRICARE/CHAMPUS (01) | VA |
0572M | BC/BS (01) | NC |
081911 | ANTHEM (01) | VA |
15912 | SENTARA (01) | VA |
215382 | UHC/MAMSI (01) | VA |
890572M | (05) | NC |
B09373 | (02) | VA |
PAR | AETNA (01) | VA |
PAR | CIGNA (01) | VA |
PAR | CORVEL/CORCARE (01) | VA |
PAR | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY (01) | VA |
PAR | MULTIPLAN (01) | VA |
PAR | USA MANAGED CARE (01) | VA |
PAR | VIRGINIA HEALTH NETWORK (01) | VA |
PAR | VIRGINIA PREMIER HEALTH (01) | VA |