Individual provider Active NPI

Jack William Weick, MD

  • Orthopaedic Surgery Physician
  • Columbus, OH
National Provider Identifier
1376071449
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35.148393 Issued in OH
Practice address
285 E State St Ste 500
Columbus, OH 43215-4359
Phone
(614) 566-7777
Fax
(614) 566-8880
NPI assigned
Jun 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301112424 MI
Student in an Organized Health Care Education/Training Program 390200000X TX
Orthopaedic Surgery Physician 207X00000X 35.148393 OH Primary

Addresses

Primary practice location

285 E State St Ste 500
Columbus, OH 43215-4359

Mailing address

285 E State St Ste 500
Columbus, OH 43215-4359
Phone (614) 566-7777

Other practice location 1

6414 Fannin St Ste G150
Houston, TX 77030-1514
Phone (713) 486-6998

Other practice location 2

1500 E Medical Center Dr Spc 5328
Ann Arbor, MI 48109-5328
Phone (734) 232-9432

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jweick972141@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230907001548 OH Practitioner - Orthopedic Surgery 7911268131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Chicago, Pritzker School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

285 E State St
Suite 500
Columbus, OH 43215-4322
Phone (614) 828-4241

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301112424MIMDOrthopaedic Surgery Physician
35.148393OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Aug 1, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2023 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

285 E State St
Ste 500
Columbus, OH 43215
Phone (614) 566-7777

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1376071449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E STATE ST STE 500",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154359",
            "telephone_number": "614-566-7777",
            "fax_number": "614-566-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E STATE ST STE 500",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154359",
            "telephone_number": "614-566-7777",
            "fax_number": "614-566-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6414 Fannin St Ste G150",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301514",
            "country_code": "US",
            "telephone_number": "713-486-6998",
            "fax_number": "751-271-3486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Medical Center Dr Spc 5328",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095328",
            "country_code": "US",
            "telephone_number": "734-232-9432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEICK",
        "first_name": "JACK",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301112424",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.148393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jweick972141@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "285 E State St Ste 500",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.