GLENN HOWARD WEYHRICH M.D. NPI 1255450649

NPI Information

NPI: 1255450649
Provider Name: GLENN HOWARD WEYHRICH, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
222 N 2ND ST STE 206
BOISE, ID
ZIP 83702
Phone: (208) 342-2516
Get Directions

Glenn Howard Weyhrich, M.D. is a gynecology obstetrics gynecology in Boise, ID. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Glenn Howard Weyhrich, M.D. NPI is 1255450649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

222 N 2ND ST STE 206
BOISE, ID
ZIP 83702-130
Phone: (208) 342-2516
Fax: (208) 342-1661

The NPI 1255450649 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	M3119	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M3119	OTHER	IDAHO	IDAHO STATE LICENSE
2	01602650631	OTHER	IDAHO	AMA MEMBERSHIP
3	13D0521509	OTHER	IDAHO	CLIA LAB ID NUMBER
4	002523800	MEDICAID	IDAHO
5	MD1637	OTHER	IDAHO	IDAHO CONTROLLED SUBSTANC
6	000010000709	OTHER	IDAHO	REGENCE BLUE SHIELD OF ID
7	140277	OTHER	OREGON	OMAP OREGON MEDICAID
8	50120	OTHER	IDAHO	BLUE CROSS OF IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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