Active NPI
Edward E Weng, MD
- Surgery Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD60101109
- Practice address
- 315 MLK Jr Way
Ms: 315-J1-TRM
Tacoma, WA 98405 - Phone
- (253) 403-7537
- Fax
- (253) 403-4576
- NPI assigned
- Dec 26, 2006
- Last updated
- Oct 6, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301045288 | MI | |
| Surgery Physician | 208600000X | MD60101109 | WA | Primary |
Addresses
Primary practice location
315 MLK Jr Way
Ms: 315-J1-TRM
Tacoma, WA 98405
Mailing address
315 MLK Jr Way
Ms: 315-J1-TRM
Tacoma, WA 98405
Phone (253) 403-7537
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003811 | Medicaid | WA | |
| 4109780 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eweng22482@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
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
- General Surgery
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Glasson Way
Suite L30
Grass Valley, CA 95945-5723
Phone (856) 759-4765
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301045288 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Harrison Medical Center | Past | Accepting new patients | |
| Commonspirit Washington | Past | Accepting new patients | |
| Enumclaw Regional Hospital Association | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| St Francis Community Hospital | Past | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Past | Accepting new patients |
| Surgical Associates of Macomb, PLC | Surgery | Past | Accepting new patients |
| Franciscan Health System | Past | Accepting new patients | |
| Synergy Surgicalists LLC | Surgery | Past | Accepting new patients |
| Saint Clare Hospital | Past | Accepting new patients |
Locations
5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000
807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8695
27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
Interoperability endpoints
- eweng22482@fhsce.catholichealth.net
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Grass Valley, CA
- NPI 1932623782
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
dba St. Elizabeth Hospital
- Critical Access Hospital
- Enumclaw, WA
- NPI 1073674040
-
dba St Anthony Hospital
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bremerton, WA
- NPI 1902956238
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
- Surgery Physician
- Westminster, CO
- NPI 1477239267
-
- Surgery Physician
- Clinton Township, MI
- NPI 1316031339
-
dba Sutter North Surgery Center
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1114334422
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sierra Nevada Memorial Hospital
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1285799668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MLK JR WAY",
"address_2": "MS: 315-J1-TRM",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-403-7537",
"fax_number": "253-403-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MLK JR WAY",
"address_2": "MS: 315-J1-TRM",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-403-7537",
"fax_number": "253-403-4576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENG",
"first_name": "EDWARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301045288",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD60101109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2003811",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4109780",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eweng22482@fhsce.catholichealth.net",
"affiliation": "Y",
"affiliationName": "Franciscan Medical Group",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1717 S J St # MS 20-15",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054933",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.