Active NPI
Daryl B Wever
- Foot & Ankle Surgery Podiatrist
- Manistee, MI
National Provider Identifier
1386807212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PHYSICIAN
- Practice address
- 2608 Government Center Dr
Manistee, MI 49660-8302 - Phone
- (231) 398-6852
- NPI assigned
- Jul 10, 2008
- Last updated
- Feb 21, 2019
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PHYSICIAN | IL | Primary |
Addresses
Primary practice location
2608 Government Center Dr
Manistee, MI 49660-8302
Mailing address
455 S Roselle Rd
Ste 101
Schaumburg, IL 60193-2973
Phone (630) 773-2478
Other practice location 1
455 S Roselle Rd
Ste 101
Schaumburg, IL 60193-2973
Phone (630) 773-2478
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210503002549 | MI | Order and Referring Only - Podiatry | 1850578246 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHYSICIAN | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daryl B. Wever Corp | Foot & Ankle Surgery | Current | Accepting new patients |
| Little River Band of Ottawa Indians | Past | Accepting new patients | |
| Little River Band of Ottawa Indians | Past | Accepting new patients |
Locations
455 S Roselle Rd
Ste 101
Schaumburg, IL 60193
Phone (231) 690-6828
Interoperability endpoints
- daryl.wever.1@18350.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Schaumburg, IL
- NPI 1215368287
-
- Federally Qualified Health Center (FQHC)
- Norton Shores, MI
- NPI 1205515822
-
- Federally Qualified Health Center (FQHC)
- Manistee, MI
- NPI 1467131409
-
- Federally Qualified Health Center (FQHC)
- Norton Shores, MI
- NPI 1841979879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1386807212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S ROSELLE RD",
"address_2": "STE 101",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601932973",
"telephone_number": "630-773-2478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2608 GOVERNMENT CENTER DR",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496608302",
"telephone_number": "231-398-6852"
}
],
"practiceLocations": [
{
"address_1": "455 S ROSELLE RD",
"address_2": "STE 101",
"address_purpose": "LOCATION",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601932973",
"country_code": "US",
"telephone_number": "630-773-2478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEVER",
"first_name": "DARYL",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "PHYSICIAN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manistee, MI
- West Shore Health Centers Corporation (Kevin Anderson MD)
- West Shore Health Centers Corporation (Edwardo Barlan MD)
- West Shore Womens Practice PC
- Western Michigan Apothecaries, Inc (The Apothecary Shoppe)
- Western Michigan ENT PC
- Carl Walter Wilberg, D.O.
- Russell G Williams, D.O.
- Kellie R Wilson, LPN
- Nicole M Wisniewski, PA-C
- Cheryl M Wolfram, CHW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.