Individual provider Active NPI

Stephen Adams Weeber, D.P.M.

  • Podiatrist
  • Kettering, OH
National Provider Identifier
1467444307
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002641W Issued in OH
Practice address
5250 Far Hills Ave
Ste 220
Kettering, OH 45429-2382
Phone
(937) 438-3338
Fax
(937) 438-3353
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002641W OH Primary

Addresses

Primary practice location

5250 Far Hills Ave
Ste 220
Kettering, OH 45429-2382

Mailing address

5250 Far Hills Ave
Ste 220
Kettering, OH 45429-2353
Phone (937) 438-3338

Other identifiers 1

IdentifierTypeStateIssuer
0978009MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080702000059 OH Practitioner - Podiatry 3678645983 Practice locations: Kettering, OH

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5250 Far Hills Ave
Kettering, OH 45429-2353
Phone (937) 438-3338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue297
Removal or shaving of skin growth39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002641WOHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a Weeber DPM Podiatrist CurrentSince Aug 1, 1991 Accepting new patients

Locations

5250 Far Hills Ave
Ste 220
Kettering, OH 45429
Phone (937) 312-9212

Organizations & group practices 1

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 1

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1467444307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 FAR HILLS AVE",
            "address_2": "STE 220",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292353",
            "telephone_number": "937-438-3338",
            "fax_number": "937-438-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 FAR HILLS AVE",
            "address_2": "STE 220",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292382",
            "telephone_number": "937-438-3338",
            "fax_number": "937-438-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEBER",
        "first_name": "STEPHEN",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002641W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0978009",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.