NPIMap

Individual provider Active NPI

Weston Baker, MD

  • Family Medicine Physician
  • Enterprise, OR
National Provider Identifier
1023429883
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PG183919 Issued in OR
Practice address
603 Medical Pkwy
Enterprise, OR 97828-5124
Phone
(541) 426-4502
NPI assigned
May 15, 2014
Last updated
Apr 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X PG183919 OR Primary

Addresses

Primary practice location

603 Medical Pkwy
Enterprise, OR 97828-5124

Mailing address

603 Medical Pkwy
Enterprise, OR 97828-5124

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8211

Other names 1

  • Weston Fuhrman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920002879 OR Practitioner - Family Practice 5597982371 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wallowa County Health Care DistrictGroup PAC ID 4183537566, shared by 7 NPIs, 26 clinicians
Winding Waters Medical ClinicGroup PAC ID 8224346713, 16 clinicians

Practice addresses (Care Compare)

601 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-5460

603 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-4502

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PG183919ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winding Waters Medical Clinic CurrentSince Sep 1, 2018 Accepting new patients
Wallowa County Health Care District Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Wallowa County Health Care District Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Wallowa County Health Care District CurrentSince Jan 1, 2026 Accepting new patients
Winding Waters Medical Clinic CurrentSince Sep 1, 2018 Accepting new patients
Winding Waters Clinic PC Past Accepting new patients

Locations

601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111

603 Medical Pkwy
Enterprise, OR 97828
Phone 5414264502215

Interoperability endpoints

  • Direct secure messaging: wbaker138267@wm.providencedirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1023429883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 MEDICAL PKWY",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978285124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MEDICAL PKWY",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978285124",
            "telephone_number": "541-426-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "WESTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "PG183919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WESTON",
            "last_name": "FUHRMAN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Enterprise, OR

Sources for this page

Verify at the official NPI Registry.