Active NPI
Donald C Weldon
- Internal Medicine Physician
- Beatrice, NE
National Provider Identifier
1285639658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 16679
- Practice address
- 1201 N 10TH St
Beatrice, NE 68310-2003 - Phone
- (402) 228-3545
- Fax
- (402) 228-3826
- NPI assigned
- Jun 14, 2005
- Reactivated
- Mar 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 16679 | NE | Primary |
| Rural Health Clinic/Center | 261QR1300X | 16679 | NE |
Addresses
Primary practice location
1201 N 10TH St
Beatrice, NE 68310-2003
Mailing address
1201 N 10TH St
Beatrice, NE 68310-2003
Phone (402) 228-3545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00733 | Other | NE | BLUE CROSS BLUE SHIELD |
| 47071415401 | Medicaid | NE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1285639658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N 10TH ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683102003",
"telephone_number": "402-228-3545",
"fax_number": "402-228-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N 10TH ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683102003",
"telephone_number": "402-228-3545",
"fax_number": "402-228-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDON",
"first_name": "DONALD",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2010-02-25",
"deactivation_date": "2006-03-17",
"reactivation_date": "2006-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "16679",
"primary": true
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NE",
"license": "16679",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00733",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47071415401",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beatrice, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.