Omri Kenneth Webb, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12908 Issued in SC

Practice address

801 W Main St
Union, SC 29379-2717

Phone

(864) 429-3029

Fax

(864) 429-3015

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1194822510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S DUNCAN BYP",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293797830",
            "telephone_number": "864-427-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792717",
            "telephone_number": "864-429-3029",
            "fax_number": "864-429-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "OMRI",
        "middle_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "12908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129088",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00402307",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01577395",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wallace Thomson Hospital
• Wallace Thomson Hospital
• Wallace Thomson Hospital
• Kelly S Walton, RN
• Jennifer Smith Watters, R.N.
• William Lewis Weber, D.M.D.
• Robert M. Wentz, MD
• William Andrew White, DDS
• Eric Zellner
• Zilris, Inc.

• Family Medicine Physician in Union, SC
• Providers in Union, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.