Richard J Weber, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0036374 Issued in FL

Practice address

1007 Beverly Dr
Rockledge, FL 32955-2833

Phone

(321) 632-1520

Fax

(321) 632-6874

NPI assigned

Jul 14, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: richard.weber.1@17680.direct.athenahealth.com

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1184640922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 BEVERLY DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552833",
            "telephone_number": "321-632-1520",
            "fax_number": "321-632-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 BEVERLY DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552833",
            "telephone_number": "321-632-1520",
            "fax_number": "321-632-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "0036374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039654100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kailey Tara Watson, OTR/L
• Stephen John Watts, MD
• Jasmin Weaver
• Jason Shane Webb
• Andrea K Webber, PA
• Jessica Webster, LCPC
• Christy Wedsmark
• Jesse Roberta Smith Weisel
• Sherry Welch, MA, LMHC
• Dee Dee Wells

• Gastroenterology Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.