Active NPI
Jonathan L. Weker, M.D.
- Psychiatry Physician
- Montpelier, VT
National Provider Identifier
1114956281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 42-0008231
- Practice address
- 100 State St
Suite 245
Montpelier, VT 05602-3099 - Phone
- (802) 223-2266
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 42-0008231 | VT | |
| Psychiatry Physician | 2084P0800X | 42-0008231 | VT | Primary |
Addresses
Primary practice location
100 State St
Suite 245
Montpelier, VT 05602-3099
Mailing address
PO Box 10
Montpelier, VT 05601-0010
Phone (802) 223-2266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42-0008231 | Other | VT | MEDICAL LICENSE |
| 0009881 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42-0008231 | VT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1114956281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056010010",
"telephone_number": "802-223-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STATE ST",
"address_2": "SUITE 245",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056023099",
"telephone_number": "802-223-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEKER",
"first_name": "JONATHAN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "VT",
"license": "42-0008231",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "42-0008231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "42-0008231",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009881",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.