MELISSA BRANDON WEIMER D.O. NPI 1972708675

NPI Information

NPI: 1972708675
Provider Name: MELISSA BRANDON WEIMER, D.O.
Classification: Internal Medicine - 207RA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
1450 CHAPEL ST
NEW HAVEN, CT
ZIP 06511
Phone: (203) 789-3160
Get Directions

Melissa Brandon Weimer, D.O. is an addiction medicine internal medicine in New Haven, CT with 17 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. Melissa Brandon Weimer, D.O. NPI is 1972708675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1450 CHAPEL ST
NEW HAVEN, CT
ZIP 06511-405
Phone: (203) 789-3160

The NPI 1972708675 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 6/20/2007 and was last updated on 6/1/2021.

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	207R00000X	Internal Medicine		61845	CONNECTICUT	No
2	207R00000X	Internal Medicine		DO28980	OREGON	No
3	207RA0401X	Internal Medicine	Addiction Medicine	61845	CONNECTICUT	Yes
4	207RA0401X	Internal Medicine	Addiction Medicine	287202	NEW YORK	No

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	287202	OTHER	NEW YORK	NY STATE

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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