Individual provider Active NPI

Charles Arthur Weber, M.D.

  • Pediatric Adolescent Medicine Physician
  • North Ridgeville, OH
National Provider Identifier
1013047695
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
35056985 Issued in OH
Practice address
34100 Center Ridge Rd
Suite 107
North Ridgeville, OH 44039-5311
Phone
(440) 327-1000
Fax
(440) 793-9950
NPI assigned
Mar 6, 2007
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 35056985 OH Primary

Addresses

Primary practice location

34100 Center Ridge Rd
Suite 107
North Ridgeville, OH 44039-5311

Mailing address

34100 Center Ridge Rd
Suite 107
North Ridgeville, OH 44039-5311
Phone (440) 327-1000

Other identifiers 2

IdentifierTypeStateIssuer
0837812MedicaidOH
WE0711171OtherOHPIN#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35056985OHMDPediatric Adolescent Medicine Physician

Interoperability endpoints

  • Direct secure messaging: cweber220101@ehrdirect.uhhospitals.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1013047695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34100 CENTER RIDGE RD",
            "address_2": "SUITE 107",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440395311",
            "telephone_number": "440-327-1000",
            "fax_number": "440-793-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34100 CENTER RIDGE RD",
            "address_2": "SUITE 107",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440395311",
            "telephone_number": "440-327-1000",
            "fax_number": "440-793-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "CHARLES",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OH",
            "license": "35056985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0837812",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN#",
            "identifier": "WE0711171",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.