Jeffrey Eldon Deweese, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G682580 Issued in CA

Practice address

1199 Bush St
Suite # 590
San Francisco, CA 94109-5999

Phone

(415) 292-2344

Fax

(415) 931-2618

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Indiana University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Healthcare of PlacervilleGroup PAC ID 9436202595, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Premier Healthcare of Placerville

  • Pain Medicine Physician
  • Placerville, CA
  • NPI 1932345410
  Medicare reassignment Care Compare group NPD
• Wound MD PC

  • General Practice Physician
  • Petaluma, CA
  • NPI 1942606744
  Medicare reassignment NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1326072893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 BUSH ST",
            "address_2": "SUITE # 590",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095999",
            "telephone_number": "415-292-2344",
            "fax_number": "415-931-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 BUSH ST",
            "address_2": "SUITE # 590",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095999",
            "telephone_number": "415-292-2344",
            "fax_number": "415-931-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEESE",
        "first_name": "JEFFREY",
        "middle_name": "ELDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G682580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacton Devoti
• Melissa Dewalt
• Deborah Sylvia Dewar, MS/NNP
• Lisa Dewar, RD
• Antoinnette Monique Dewbery
• Kaitlin Dewilde
• Angel J Dewitt-Hernandez, RN
• Thomas A Dewland, M.D.
• Farah Billy Dews
• Nicholas Alexander Dewyer, MD

• Plastic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.

Verify at the official NPI Registry.