Individual provider Active NPI

Eric Robert Weber, MD

  • Family Medicine Physician
  • Whitley City, KY
National Provider Identifier
1184121576
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TP624 Issued in KY
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317003065 KY Practitioner - Family Practice 2365878915 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
MD2021-0999NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Care Affiliates, Inc. Family Medicine CurrentSince Apr 29, 2025 Accepting new patients
Regional Health Care Affiliates Inc CurrentSince Apr 29, 2025 Accepting new patients
Wilderness Road Health Services, LLC CurrentSince Feb 6, 2025 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.