Active NPI
Roger Dana Weeks, M.D.
- Ophthalmology Physician
- Petaluma, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A24319
- Practice address
- 47 Maria Dr
Suite 814
Petaluma, CA 94954-3560 - Phone
- (707) 762-7328
- Fax
- (707) 762-0614
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A24319 | CA | Primary |
Addresses
Primary practice location
47 Maria Dr
Suite 814
Petaluma, CA 94954-3560
Mailing address
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A243190 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Ophthalmology
- Education
- University of California, San Francisco School of Medicine, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Petaluma Health Center Inc
Practice addresses (Care Compare)
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500
1310 Prentice Dr
Suite F
Healdsburg, CA 95448-5004
Phone (707) 433-9475
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A24319 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bay Eye Associates a Medical Corporation | Current | Accepting new patients | |
| North Bay Eye Associates a Medical Corporation | Ophthalmology | Current | Accepting new patients |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Petaluma Health Center Inc | Past | Accepting new patients | |
| Petaluma Health Center Inc | Past | Accepting new patients | |
| SRM Alliance Hospital Services | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients |
Locations
1310 Prentice Dr
Ste F
Healdsburg, CA 95448
Phone (707) 433-9475
225 S Main St
Lakeport, CA 95453
Phone (707) 263-0101
104 Lynch Creek Way
Ste 15
Petaluma, CA 94954
Phone (707) 762-3573
Interoperability endpoints
- rweeks614169@direct.ochin.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Rohnert Park, CA
- NPI 1952418378
-
- Ambulatory Surgical Clinic/Center
- Santa Rosa, CA
- NPI 1073620415
-
- Federally Qualified Health Center (FQHC)
- Petaluma, CA
- NPI 1588656268
-
- Federally Qualified Health Center (FQHC)
- Rohnert Park, CA
- NPI 1669870739
-
- Skilled Nursing Facility
- Petaluma, CA
- NPI 1770703886
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Petaluma, CA
- NPI 1235162645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1235157611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 N MCDOWELL BLVD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949546559",
"telephone_number": "707-559-7500",
"fax_number": "707-559-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 MARIA DR",
"address_2": "SUITE 814",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949543560",
"telephone_number": "707-762-7328",
"fax_number": "707-762-0614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEKS",
"first_name": "ROGER",
"middle_name": "DANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A24319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A243190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.