Glenda Cheryl Weeman, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

50861 Issued in CO

Practice address

2130 Mountain View Ave Ste 203
Longmont, CO 80501-3177

Phone

(303) 776-8847

Fax

(303) 776-8897

NPI assigned

Apr 20, 2012

Last updated

Jun 26, 2013By the provider in NPPES

Sex

Female

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

Enrolled in CO

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

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Longs Peak Hospital Hospital, Longmont, CO, CCN 060128

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Longmont Integrative Family Practice PLLC

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1700229143
  Medicare reassignment NPD Authorized official

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

• Longs Peak Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1154876985
  Care Compare affiliation

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1164789715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 MOUNTAIN VIEW AVE STE 203",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013177",
            "telephone_number": "303-776-8847",
            "fax_number": "303-776-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MOUNTAIN VIEW AVE STE 203",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013177",
            "telephone_number": "303-776-8847",
            "fax_number": "303-776-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEMAN",
        "first_name": "GLENDA",
        "middle_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "50861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Jay Weddel, M.D.
• Cynthia Lee Wedel, LCSW
• Weeks Chiropractic Inc.
• Brian D Weeks, D.C.
• Krystle Weeks, CPT
• Alexander M Wegman
• Ethan Wei, M.D.
• Joy Ann Weigel, LPCC
• Shayna Weil, LPC
• Brian Weinstein, PA-C

• Family Medicine Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.