Russell Scott Weber, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301059811 Issued in MI

Practice address

750 E Beltline Ave NE
Grand Rapids, MI 49525-6049

Phone

(616) 949-2600

Fax

(616) 365-2076

NPI assigned

Jul 12, 2005

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 3

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rscott.weber.p1@direct.grophthalmology.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Blue Sky Vision Eye Care, P.C

  dba Grand Rapids Ophthalmology

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1801977202
  Medicare reassignment NPD
• Blue Sky Vision Eye Care, PC

  dba Tukel Eye Center

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1316675598
  NPD
• Walker Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Walker, MI
  • NPI 1679612253
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1336147537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256049",
            "telephone_number": "616-949-2600",
            "fax_number": "616-365-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256049",
            "telephone_number": "616-949-2600",
            "fax_number": "616-365-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "RUSSELL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301059811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2848052",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "180D148331",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "180014764",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dylan Weber
• Frances June Weber
• Kendrick Weber
• Merrill E Weber, DNP, NNP-BC
• Rachel Weber, MD
• Trina M Weber, MS RD
• Viola Yishan Xiu Fu Xia Weber
• Tricia Anne Webster-Hubert, OTR
• L. Renee Webster, R.D.
• Rachel Webster, PHARMD

• Ophthalmology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.

Verify at the official NPI Registry.