Richard Davis Weller, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00022858 Issued in WA

Practice address

319 W Kinnear PL
Seattle, WA 98119-3732

Phone

(206) 662-2847

Fax

(206) 544-8326

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1194815258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W KINNEAR PL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193732",
            "telephone_number": "206-662-2847",
            "fax_number": "206-544-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W KINNEAR PL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193732",
            "telephone_number": "206-662-2847",
            "fax_number": "206-544-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "RICHARD",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00022858",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G30535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Michelle Well, ARNP
• Janet M Welle, ARNP
• Heidi Wellenstein, MD
• Erika Faith Weller
• Mariana Leigh Weller, MSW
• Robert Weller, MD
• Marianne Hinck Welling, O.D.
• Wellington Provider Group PC
• Jay Wellington, MSW
• Nancy Collette Welliver, ND

• Internal Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.