Active NPI
David Michael Weed, M.D.
- Pediatrics Physician
- Benton, AR
National Provider Identifier
1245292580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E1682
- Practice address
- 2301 Springhill Rd
Suite 200
Benton, AR 72015-7552 - Phone
- (501) 315-0078
- Fax
- (501) 943-3016
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E1682 | AR | Primary |
Addresses
Primary practice location
2301 Springhill Rd
Suite 200
Benton, AR 72015-7552
Mailing address
2301 Springhill Rd
Suite 200
Benton, AR 72015-7552
Phone (501) 315-0078
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134225001 | Medicaid | AR | |
| 5K793 | Other | AR | BCBS PROVIDER ID |
| 1220203 | Other | AR | UNITED HEALTHCARE ID |
| 18159000000 | Other | AR | QUALCHOICE PROVIDER ID |
| 5346627 | Other | AR | AETNA PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1682 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Arkansas Pediatric Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Legal Medicine
- Benton, AR
- NPI 1124057088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1245292580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 SPRINGHILL RD",
"address_2": "SUITE 200",
"city": "BENTON",
"state": "AR",
"postal_code": "720157552",
"telephone_number": "501-315-0078",
"fax_number": "501-943-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 SPRINGHILL RD",
"address_2": "SUITE 200",
"city": "BENTON",
"state": "AR",
"postal_code": "720157552",
"telephone_number": "501-315-0078",
"fax_number": "501-943-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEED",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E1682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134225001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "5K793",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE ID",
"identifier": "1220203",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE PROVIDER ID",
"identifier": "18159000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "5346627",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.