Active NPI
Eric Robert Weber, MD
- Family Medicine Physician
- Whitley City, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- TP624
- Practice address
- 19 Medical Loop Ste 4
Whitley City, KY 42653-4382 - Phone
- (606) 376-2639
- NPI assigned
- Apr 11, 2018
- Last updated
- Feb 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2021-0999 | NM | |
| Family Medicine Physician | 207Q00000X | U4043 | TX | |
| Family Medicine Physician | 207Q00000X | TP624 | KY | Primary |
Addresses
Primary practice location
19 Medical Loop Ste 4
Whitley City, KY 42653-4382
Mailing address
19 Medical Loop Ste 4
Whitley City, KY 42653-4382
Phone (606) 376-2639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kentucky College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 E Main St
Earlington, KY 42410-1333
Phone (270) 905-4084
215 E Main St
Providence, KY 42450-1261
Phone (270) 667-7017
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2021-0999 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Care Affiliates, Inc. | Family Medicine | Current | Accepting new patients |
| Regional Health Care Affiliates Inc | Current | Accepting new patients | |
| Wilderness Road Health Services, LLC | Current | Accepting new patients |
Locations
107 E Main St
Earlington, KY 42410
Phone (270) 383-2521
215 E Main St
Providence, KY 42450
Phone (270) 667-7017
215 E Main St
#215
Providence, KY 42450
19 Medical Loop
Ste 4
Whitley City, KY 42653
Phone (606) 376-2639
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Providence, KY
- NPI 1558692558
Family Medicine
-
- Primary Care Clinic/Center
- Whitley City, KY
- NPI 1952116550
-
- Federally Qualified Health Center (FQHC)
- Clay, KY
- NPI 1679395040
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Deaconess Madisonville
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1184121576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MEDICAL LOOP STE 4",
"city": "WHITLEY CITY",
"state": "KY",
"postal_code": "426534382",
"telephone_number": "606-376-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MEDICAL LOOP STE 4",
"city": "WHITLEY CITY",
"state": "KY",
"postal_code": "426534382",
"telephone_number": "606-376-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "ERIC",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2025-02-21",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2021-0999",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "U4043",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "TP624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitley City, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.