Jeffrey Scott Weber, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1108-25 Issued in WI

Practice address

620 Woodmere Ave Ste C
Traverse City, MI 49686-3397

Phone

(231) 946-8822

Fax

(312) 947-0977

NPI assigned

May 7, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097
• Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
• Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081
• Munson Healthcare Manistee Hospital Hospital, Manistee, MI, CCN 230303

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBEBBA/Endpoint/BBEBBA
• Direct secure messaging: jeffrey.weber@bp.eclinicaldirectplus.com

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

• J Weber Medical Group PLLC

  • Foot & Ankle Surgery Podiatrist
  • Traverse City, MI
  • NPI 1285297481
  Medicare reassignment NPD Authorized official
• Birch Tree Podiatry Group PC

  • Podiatric Clinic/Center
  • Traverse City, MI
  • NPI 1639117039
  NPD
• Dr. Steven M Waldman S.C.

  • Podiatrist
  • Wauwatosa, WI
  • NPI 1376626267
  NPD
• Footsource MD, LLC

  • Customized Equipment (DME)
  • Westerville, OH
  • NPI 1386807543
  NPD (past)
• Horizon Home Care & Hospice, Inc.

  • Home Health Agency
  • Milwaukee, WI
  • NPI 1780687327
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Kalkaska Memorial Health Center

  • Critical Access Hospital
  • Kalkaska, MI
  • NPI 1497751309
  Care Compare affiliation
• Munson Healthcare Cadillac

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1487051611

  Hospital

  Care Compare affiliation
• Munson Healthcare Cadillac

  • General Acute Care Hospital
  • Cadillac, MI
  • NPI 1841696754
  Care Compare affiliation
• Munson Healthcare Manistee Hospital

  • General Acute Care Hospital
  • Manistee, MI
  • NPI 1407949191
  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1043655822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262426",
            "telephone_number": "414-257-0676",
            "fax_number": "414-774-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WOODMERE AVE STE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863397",
            "telephone_number": "231-946-8822",
            "fax_number": "312-947-0977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 S Howell Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541407",
            "country_code": "US",
            "telephone_number": "414-764-4500",
            "fax_number": "474-764-4699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10125 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "53226",
            "country_code": "US",
            "telephone_number": "414-257-0676",
            "fax_number": "414-774-2588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10125 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "53226",
            "country_code": "US",
            "telephone_number": "414-257-0676",
            "fax_number": "414-774-2588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1108-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.weber@bp.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "620 Woodmere Ave Ste C",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496863397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Webb, LMSW, MPH
• Madison Marie Webb
• Abbie Lynn Marie Weber
• Emily Kathleen Weber, AT, ATC
• Gabrielle Weber
• Jillian Weber
• Kevin P Weber, M.D.
• Sydney R Weber
• Barbara J Webster, CAC
• Daniel M Webster, MD

• Podiatrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.