Provider Demographics
NPI:1215910708
Name:SCHWEITZER, WAYNE A (MD)
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:A
Last Name:SCHWEITZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 NONOTUCK ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1911
Mailing Address - Country:US
Mailing Address - Phone:413-584-9511
Mailing Address - Fax:413-584-4218
Practice Address - Street 1:190 NONOTUCK ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1911
Practice Address - Country:US
Practice Address - Phone:413-584-9511
Practice Address - Fax:413-584-4218
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA53118207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042522715OtherUNICARE/GIC
MA042522715OtherPRIVATE HEALTH CARE SYS
MA042522715OtherGREAT-WEST
MA042522715OtherNORTH AMERICAN PREFERRED
MA042522715OtherPLAN VISTA
MA2359275OtherAETNA
MA3172988Medicaid
MAJ04953OtherBCBSMA
MA0417970OtherCIGNA
MA6842OtherBMC HEALTHNET
MA739094OtherTUFTS
MA042522715OtherCONSOLIDATED HEALTH PLANS
MA042522715OtherNORTHEAST HEALTH DIRECT
MA25704OtherHARVARD PILGRIM
MA531181OtherCONNECTICARE
MA24852OtherHEALTH NEW ENGLAND
MA042522715OtherNORTHEAST HEALTHCARE ALL
MA042522715OtherUNICARE/GIC
MA531181OtherCONNECTICARE