Individual provider Active NPI

Daryl B Wever

  • Foot & Ankle Surgery Podiatrist
  • Manistee, MI
National Provider Identifier
1386807212
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PHYSICIAN Issued in IL
Practice address
2608 Government Center Dr
Manistee, MI 49660-8302
Phone
(231) 398-6852
NPI assigned
Jul 10, 2008
Last updated
Feb 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210503002549 MI Order and Referring Only - PodiatryPractitioner - Podiatry 1850578246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PHYSICIANILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daryl B. Wever Corp Foot & Ankle Surgery Current Accepting new patients
Little River Band of Ottawa Indians PastSince Jul 16, 2023 Accepting new patients
Little River Band of Ottawa Indians PastSince Jul 23, 2023 Accepting new patients

Locations

455 S Roselle Rd
Ste 101
Schaumburg, IL 60193
Phone (231) 690-6828

Interoperability endpoints

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.