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NPISignal

Individual Healthcare Provider

Theodore I Weitz, MD

NPI Record: ActiveEmergency Medicine
NPI1356398952
Petersburg, West Virginia

Provider's NPPES record last updated: February 3, 2021

Overview

Entity Type
Individual Healthcare Provider
NPI
1356398952
Primary Specialty
Emergency Medicine
Practice Location
Petersburg, West Virginia
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 6:34 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    Primary

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X
  • Pediatrics

    Allopathic & Osteopathic Physicians

    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

    Taxonomy code 208000000X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X

Provider-Reported License Information

Emergency Medicine (New Hampshire)
LT-1161
Emergency Medicine (West Virginia)
25991
Emergency Medicine (Missouri)
2005030572
Emergency Medicine (New Mexico)
MD2008-0651
Emergency Medicine (Wisconsin)
18315
Pediatrics (Massachusetts)
212862
General Practice (Wisconsin)
18315
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

117 Hospital Dr

Petersburg, West Virginia 26847-9566

Phone: (304) 257-1026

Additional Practice Location

800 Riverside Dr

Waupaca, Wisconsin 54981-1943

Phone: (715) 258-1000

Fax: (715) 258-2000

Record Information

Enumeration Date
May 28, 2006
Provider's NPPES Record Last Updated
February 3, 2021
Certification Date
February 3, 2021
NPISignal NPPES Dataset
August 2026

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