Active NPI
Matthew G Weeks, M.D.
- Pediatrics Physician
- Loris, SC
National Provider Identifier
1336102904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 85346
- Practice address
- 3655 Mitchell St
Loris, SC 29569-2827 - Phone
- (843) 390-8159
- NPI assigned
- Apr 6, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 187312 | NY | |
| Pediatrics Physician | 208000000X | 85346 | SC | Primary |
Addresses
Primary practice location
3655 Mitchell St
Loris, SC 29569-2827
Mailing address
4000 Highway 9 E
Little River, SC 29566-7833
Phone (843) 390-8159
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD85346 | Other | SC | STATE LICENSE |
| 187312 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
4000 Highway 9 E
Little River, SC 29566
Phone (843) 390-8100
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
Interoperability endpoints
- mweeks28961@directmcleodehealth.org
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Loris, SC
- NPI 1265708119
-
- Community/Retail Pharmacy
- Little River, SC
- NPI 1629387352
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
- Clinic/Center
- New York, NY
- NPI 1548208127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1336102904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 HIGHWAY 9 E",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295667833",
"telephone_number": "843-390-8159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 MITCHELL ST",
"city": "LORIS",
"state": "SC",
"postal_code": "295692827",
"telephone_number": "843-390-8159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEKS",
"first_name": "MATTHEW",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "187312",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "85346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD85346",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "187312",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loris, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.