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GLEN A WEISGERBER MD SC
NPI 1124337605
Family Medicine in Auburn, IL

Active since September 30, 2010
100 S 5TH ST, AUBURN, IL 62615(217) 438-6175 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen A Weisgerber Md Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN A WEISGERBER MD SC (NPI 1124337605) is a healthcare organization registered as a family medicine in Auburn, Illinois and active in the NPI registry since September 2010. The organization lists Glen Weisgerber, Owner, as its authorized official.

NPPES Registry Identity

NPI1124337605
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGLEN A WEISGERBER MD SC
Location Address100 S 5TH STAuburn, IL 62615-1402
Mailing Address100 S 5th StAuburn, IL 62615-1402
Phone(217) 438-6175
Organization SubpartNo
Authorized OfficialGlen WeisgerberOwner · (217) 438-6175
Enumeration DateSeptember 30, 2010
✔ NPI 1124337605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
100 S 5TH ST, Auburn, IL 62615
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Other Identifiers 3

Medicare PIN036061310IL
Medicare PIN659970IL
Medicare UPINC45224IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0435318

Glen A Weisgerber MD · Auburn, IL
Expired · Jul 12, 2026
CLIA Number14D0435318
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2024
Certificate Expiration DateJuly 12, 2026
Laboratory DirectorGlen A. Weisgerber
Laboratory Phone(217) 438-6175
Laboratory LocationGlen A Weisgerber MD100 South 5th Street, Auburn, IL 62615
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLEN A WEISGERBER MD
Family Medicine
100 S 5TH ST
AUBURN, IL 62615
Sangamon County (217) 438-6175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen A Weisgerber MD Sc's NPI number?

The NPI number for Glen A Weisgerber MD Sc is 1124337605. It was assigned to this organization in the NPPES registry on September 30, 2010.

Where is Glen A Weisgerber MD Sc located?

Glen A Weisgerber MD Sc is located at 100 S 5th St, Auburn, IL 62615. The listed phone number is (217) 438-6175.

What is Glen A Weisgerber MD Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Glen A Weisgerber MD Sc was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.