Individual provider Active NPI

Scott David Weber, M.D.

  • Family Medicine Physician
  • Everett, WA
National Provider Identifier
1083600209
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00039675 Issued in WA
Practice address
2000 W Marine View Dr
BLDG 2010
Everett, WA 98207-0001
Phone
(425) 304-4082
Fax
(425) 304-4138
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00039675 WA Primary

Addresses

Primary practice location

2000 W Marine View Dr
BLDG 2010
Everett, WA 98207-0001

Mailing address

2000 W Marine View Dr
BLDG 2010
Everett, WA 98207-0001
Phone (425) 304-4082

Other identifiers 1

IdentifierTypeStateIssuer
8275562MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000444 WA Practitioner - Family Practice 8224007646 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4990MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Family Medicine Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Aug 18, 2015 Accepting new patients
King County Public Hospital District No. 2 Family Medicine CurrentSince Aug 18, 2015 Accepting new patients
Public Hospital District No 1 of Snohomish County Past Accepting new patients
Redmond Spine Center, PLLC Family Medicine Past Accepting new patients
Carena Medical Providers PS Family Medicine Past Accepting new patients
Integrated Health PLLC Family Medicine Past Accepting new patients
Caresimple Providers PS Family Medicine Past Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

30207 US 2
Sultan, WA 98294
Phone (360) 793-0201

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1083600209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W MARINE VIEW DR",
            "address_2": "BLDG 2010",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982070001",
            "telephone_number": "425-304-4082",
            "fax_number": "425-304-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W MARINE VIEW DR",
            "address_2": "BLDG 2010",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982070001",
            "telephone_number": "425-304-4082",
            "fax_number": "425-304-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00039675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8275562",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.