Stephen C Weatherford, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

F2098 Issued in TX

Practice address

2501 Jimmy Johnson Blvd
Suite 201
Port Arthur, TX 77640-2000

Phone

(409) 853-5288

Fax

(409) 853-5274

NPI assigned

Sep 12, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Harbor Hospital of Southeast Texas, LP

  • Long Term Care Hospital
  • Beaumont, TX
  • NPI 1649262528
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1285738930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "SUITE 201",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402000",
            "telephone_number": "409-853-5288",
            "fax_number": "409-853-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "SUITE 201",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402000",
            "telephone_number": "409-853-5288",
            "fax_number": "409-853-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERFORD",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "F2098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123423903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walisha M. Blackmore M.Ed., LPC
• Walter Umphrey Cancer Center of Southeast Texas
• Ashley Walters, NP
• George Ronald Walters, MD
• Tyneshia Watson
• Deborah Kay Webb-Johnson, LPC, NCC
• Robert E Wiggins Jr., DDS
• Clayton Jefferson Pete Wilkerson, PA-C
• William D. George, MD
• Anthony Kirk Williams, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.