Stephen Alan Weil, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD07794 Issued in OR

Practice address

4035 SW Mercantile Dr
Ste 101
Lake Oswego, OR 97035

Phone

(503) 697-3001

Fax

(503) 697-0906

NPI assigned

May 15, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• The Medical Wellness Clinic, LLC

  • Internal Medicine Physician
  • Lake Oswego, OR
  • NPI 1295922755
  NPD (past) Authorized official
• Dr. Paula D Kilpatrick

  • Internal Medicine Physician
  • Lake Oswego, OR
  • NPI 1205853256
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447201215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 SW MERCANTILE DR",
            "address_2": "STE 101",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-697-3001",
            "fax_number": "503-697-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 SW MERCANTILE DR",
            "address_2": "STE 101",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-697-3001",
            "fax_number": "503-697-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIL",
        "first_name": "STEPHEN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD07794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238535",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eltie Watson, CHT
• Susana Rosales Watson, ND
• Eric P Wecker, MD
• Susan Weedall, P.T.
• Gregory Haylett Weidlich, D.C.
• Brian Jeffrey Weiss, LMT
• Garen Leeann Weitman, PSY.D.
• Wellness Chiropractic Center
• Wellspring Psychiatry LLC
• Amanda Nicole Welton, RN

• Internal Medicine Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.