Leonard Eugene Weber Jr., M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

13801 Issued in NE

Practice address

625 South 205TH Street
Elkhorn, NE 68022

Phone

(402) 289-0854

Fax

(402) 289-0854

NPI assigned

Dec 16, 2005

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1093791576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SOUTH 205TH STREET",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "68022",
            "telephone_number": "402-289-0854",
            "fax_number": "402-289-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SOUTH 205TH STREET",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "68022",
            "telephone_number": "402-289-0854",
            "fax_number": "402-289-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "LEONARD",
        "middle_name": "EUGENE",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NE",
            "license": "13801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47 0683520 00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0939397",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1300013607",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068352000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty D Warren, LIMHP
• Jennifer Ann Wasson, APRN FNP-BC
• Brenda Kay Waters, R.N.
• Emma Marie Watson, PT, DPT
• Margaret A Weaver, DPT
• Sandy Rae Wehner
• Ashley Wehrenberg, DPT
• William D Weidner, M.D.
• Hannah M Weiland, MPT
• Kristin Rose Weinand, EDS

• Neurology Physician in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Neurology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.