DR. GORDON REESE WEIGLE II


Address: 1767 Village Park Dr, Orangeburg, SC 29118-2475
Phone: 8037764000

DR. GORDON REESE WEIGLE II (NPI# 1093768616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093768616
Entity Type Individual
Full Name DR. GORDON REESE WEIGLE II
Credential M.D.
Practice Address 1767 Village Park Dr
Orangeburg
SC 29118-2475
Practice Telephone 8037764000
Practice Fax Number 8035361719
Mailing Telephone 8037764000
Mailing Fax Number 8035361719
Enumeration Date 2006-05-17
Last Update Date 2017-02-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine SC8901 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 089013 05

Office Location

Street Address 1767 VILLAGE PARK DR
City ORANGEBURG
State SC
Zip Code 29118-2475

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265664734 Kelly L Russo Psychologist 1767 Village Park Dr, Orangeburg, SC 29118-2475 2009-08-18
1366526451 Janet Paparella Adams Social Worker 1767 Village Park Dr, Orangeburg, SC 29118-2475 2006-10-25
1629088513 Rita Jones Robinson Internal Medicine 1767 Village Park Dr, Va Outpatient Clinic, Orangeburg, SC 29118-2475 2006-08-09
1841207198 William Andy Nuckols Family Medicine 1767 Village Park Dr, Orangeburg, SC 29118-2475 2006-08-01
1912945593 Columbia Vamc Clinic/Center 1767 Village Park Dr, Orangeburg, SC 29118-2475 2006-06-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386268175 Sharon Y Tremble Speech-Language Pathologist 222 Summit Parkway, Orangeburg, SC 29118 2020-06-08
1922658756 Orangeburg County School District Local Education Agency (LEA) 102 Founders Court, Orangeburg, SC 29118 2019-09-13
1710442967 Central Carolina Endodontics Pa Dentist 888 Cook Road, Orangeburg, SC 29118 2019-02-01
1821572009 Sharon Fogle Counselor 2319 Wt. Matthews Road, Orangeburg, SC 29118 2018-09-24
1104320001 South Carolina Surgical Pa Surgery 3045 St Matthews Road, Orangeburg, SC 29118 2018-03-23
1477056794 Palmetto Moon Anesthesia, LLC Anesthesiology 3045 St. Matthews Rd., Orangeburg, SC 29118 2018-03-13
1730691882 Bio-medical Applications of South Carolina, Inc. Clinic/Center 125 Kinard St, Orangeburg, SC 29118 2017-10-30
1154862746 Latasha Hott Nurse Practitioner 2323 St. Matthews Rd, Orangeburg, SC 29118 2017-03-15
1154786960 R Dale Padgett Md Pa Clinic/Center 1727 Villagepark Dr, Orangeburg, SC 29118 2015-12-21
1881977726 Ontime Transport LLC Non-emergency Medical Transport (VAN) 2851 Pelham Ct, Orangeburg, SC 29118 2011-09-27
Find all providers in zip 29118

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053941757 Occ Pro Healthcare LLC Family Medicine 1555 Middleton St, Orangeburg, SC 29115-4791 2020-01-22
1548429319 Dr. Spencer C Disher Family Medicine 196 Centre St, Orangeburg, SC 29115-6044 2008-06-05
1114094745 Neil L Block Family Medicine 60 Dutch Hill Road, Suite 3, Orangeburg, NY 10962 2006-11-29
1699882662 Henry Bowens Jr. Family Medicine 172 Old Elloree Rd, Orangeburg, SC 29115 2006-08-24
1912914284 Willie B Louis Family Medicine 1102 Summers Ave, Orangeburg, SC 29115-4922 2006-08-01
1730103144 Franklin Carn Coulter Family Medicine 941 Summers Ave, Orangeburg, SC 29115-4931 2006-07-27
1093733719 William H Whitley Family Medicine 1724 Village Park Dr, Orangeburg, SC 29118-2426 2006-07-18
1962428318 Arthur Kobina Kennedy Family Medicine 1748 Saint Matthews Rd, Orangeburg, SC 29118-2441 2006-07-15
1447280946 Patricia Ellen Riddle Family Medicine 1101 Cook Road, Orangeburg, SC 29118 2006-07-03
1093744849 Alan Mark Jolles Family Medicine 125 Express Ln, Orangeburg, SC 29118-2477 2006-07-02
Find all providers in ORANGEBURG

Competitor

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City ORANGEBURG
Zip Code 29118

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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