Individual provider Active NPI

Eunjung Amy Weikle, D.O.

  • Anesthesiology Physician
  • Boerne, TX
National Provider Identifier
1316238892
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
BP1-0040871 Issued in TX
Practice address
138 Old San Antonio Rd Ste 400
Boerne, TX 78006-3492
Phone
(210) 621-0640
Fax
(210) 621-2386
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP1-0040871 TX Primary

Addresses

Primary practice location

138 Old San Antonio Rd Ste 400
Boerne, TX 78006-3492

Mailing address

PO Box 240098
San Antonio, TX 78224-0098
Phone (210) 621-0640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812008807 TX Practitioner - Anesthesiology 8921313438 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geoff R Weikle DO PLLCGroup PAC ID 8820497480, 11 clinicians

Practice addresses (Care Compare)

12446 W Ave
Suite 200
San Antonio, TX 78216-2530
Phone (210) 525-1668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP1-0040871TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 20, 2017 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Sep 3, 2019 Accepting new patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Sep 3, 2019 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 20, 2017 Accepting new patients
A G Medical Solutions, PLLC Anesthesiology CurrentSince Mar 27, 2019 Accepting new patients
Geoff R Weikle DO PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

138 Old San Antonio Rd
Ste 400
Boerne, TX 78006
Phone (210) 442-9977

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230

8300 Floyd Curl Dr
Ste 7977
San Antonio, TX 78229

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

4242 Medical Dr
Ste 1260
San Antonio, TX 78229
Phone (210) 477-9551

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1316238892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240098",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782240098",
            "telephone_number": "210-621-0640",
            "fax_number": "210-621-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 OLD SAN ANTONIO RD STE 400",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063492",
            "telephone_number": "210-621-0640",
            "fax_number": "210-621-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIKLE",
        "first_name": "EUNJUNG",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP1-0040871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.