Stephen Douglas Weatherby, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

000769 Issued in CT

Practice address

391 Broad St
Meriden, CT 06450-5844

Phone

(203) 634-0523

NPI assigned

Dec 21, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073677258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BIRCH MILL TRL",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261204",
            "telephone_number": "960-767-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505844",
            "telephone_number": "203-634-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERBY",
        "first_name": "STEPHEN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "000769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah C Ward, PA-C
• Amy Lynn Warzecha, LCSW
• Ronnie Washington III, MASSAGE THERAPIST
• Ashley Watts, DPT
• Housein M Wazaz, M.D.
• Meghan Weeks, OT
• Wendy S Wein, LCSW
• Alan L Weiner, M.D.
• Lauren Ann Wells, LPC
• Laura M Welsh, P.T.

• Certified Registered Nurse Anesthetist in Meriden, CT
• Providers in Meriden, CT by specialty
• Certified Registered Nurse Anesthetist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.