JEROME S WEISKOPF MD NPI 1992814628

NPI Information

NPI: 1992814628
Provider Name: JEROME S WEISKOPF, MD
Classification: Surgery - 2086S0105X
Entity Type: Individual

Specialization: Surgery of the Hand

Address:
6533 LEXUS DRIVE
ROCKFORD, IL
ZIP 61108
Phone: (815) 397-4180
Get Directions

Jerome S Weiskopf, MD is a surgery of the hand surgery in Rockford, IL. The provider is a surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Jerome S Weiskopf, MD NPI is 1992814628. 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:

6533 LEXUS DRIVE
ROCKFORD, IL
ZIP 61108-015
Phone: (815) 397-4180
Fax: (815) 397-1250

The enumeration date for this NPI number is 8/29/2006 and was last updated on 7/25/2008.

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	2086S0122X	Surgery	Plastic and Reconstructive Surgery	03652893	ILLINOIS	No
2	2086S0105X	Surgery	Surgery of the Hand	03652893	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	31303800	OTHER	WISCONSIN	WI PUBLIC AID
2	208320	MEDICARE ID-TYPE UNSPECIFIED
3	036052893	MEDICAID	ILLINOIS
4	131087000	OTHER		US DEPT OF LABOR
5	D09729	MEDICARE UPIN
6	101-00485	OTHER	ILLINOIS	BLUE CROSS IF IL
7	362958896015	OTHER	WISCONSIN	BLUE CROSS OF WI
8	791240158	OTHER		RAILROAD MEDICARE

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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