Active NPI
Jeffrey Karlton Weber, MD
- Family Medicine Physician
- Ephrata, PA
National Provider Identifier
1346343399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD056265L
- Practice address
- 136 A&B Lake Street
Lake Street Family Practice
Ephrata, PA 17522 - Phone
- (717) 721-7718
- Fax
- (717) 721-7726
- NPI assigned
- Sep 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD056265L | PA | Primary |
Addresses
Primary practice location
136 A&B Lake Street
Lake Street Family Practice
Ephrata, PA 17522
Mailing address
136 A&B Lake Street
Ephrata, PA 17522
Phone (717) 721-7718
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302201 | Other | USH/HMO | |
| 610531 | Other | PA | BLUE SHIELD |
| P00255545 | Other | RAILROAD MEDICARE | |
| P002413 | Other | GATEWAY | |
| 0015972610005 | Medicaid | PA | |
| 50051222 | Other | PA | CAPITAL BLUE |
| 5302201 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1346343399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 A&B LAKE STREET",
"city": "EPHRATA",
"state": "PA",
"postal_code": "17522",
"telephone_number": "717-721-7718",
"fax_number": "717-721-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 A&B LAKE STREET",
"address_2": "LAKE STREET FAMILY PRACTICE",
"city": "EPHRATA",
"state": "PA",
"postal_code": "17522",
"telephone_number": "717-721-7718",
"fax_number": "717-721-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "JEFFREY",
"middle_name": "KARLTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD056265L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USH/HMO",
"identifier": "5302201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "610531",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00255545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "P002413",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015972610005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE",
"identifier": "50051222",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5302201",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ephrata, PA
- Warm Whiskers Counseling LLC
- Ana Weaver, CRNA
- Jessica Weaver, CRNP
- Mallory Weaver, PTA
- David M Weber, DO
- Geordann Weik, MS, CCC-SLP
- Weis Markets Inc (Weis Pharmacy)
- Nicholas Weit, DO
- Wellspan Endoscopy Center LLC (WellSpan Endoscopy Center at Barrett Boulevard)
- Wellspan Medical Group (Wellspan Health Beginnings Plus-ECH)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.