Individual provider Active NPI

Deborah A Weems, MD

  • Family Medicine Physician
  • Saint Joseph, MO
National Provider Identifier
1477521995
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
103897 Issued in MO
Practice address
5001 Lake Ave
Saint Joseph, MO 64504
Phone
(816) 238-7788
Fax
(816) 238-9298
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 103897 MO
Family Medicine Physician 207Q00000X 103897 MO Primary

Addresses

Primary practice location

5001 Lake Ave
Saint Joseph, MO 64504

Mailing address

2303 Village Dr
Saint Joseph, MO 64506-4954
Phone (816) 232-6818

Other practice location 1

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4155

Other practice location 2

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4155

Other identifiers 1

IdentifierTypeStateIssuer
208283523MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150817002799 SD Practitioner - Family Practice 7517989155 Reassigns benefits to 1 organization
I20151221002362 WY Practitioner - Family Practice 7517989155 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103897MOMDEmergency Medicine Physician
1499SDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weston County Hospital District CurrentSince Nov 6, 2015 Accepting new patients
Monument Health Network, Inc. Emergency Medicine CurrentSince Jul 3, 2015 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Weston County Hospital District CurrentSince Nov 6, 2015 Accepting new patients
Monument Health Network, Inc. CurrentSince Jul 3, 2015 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Physicians Acute Care Services, Inc Past Accepting new patients

Locations

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

1124 Washington Blvd
Newcastle, WY 82701
Phone (307) 746-3715

Interoperability endpoints

  • Direct secure messaging: deborah.weems.1@25988.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1477521995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064954",
            "telephone_number": "816-232-6818",
            "fax_number": "816-232-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 LAKE AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "64504",
            "telephone_number": "816-238-7788",
            "fax_number": "816-238-9298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2316 E Meyer Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641321136",
            "country_code": "US",
            "telephone_number": "816-276-4155",
            "fax_number": "816-276-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2316 E Meyer Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641321136",
            "country_code": "US",
            "telephone_number": "816-276-4155",
            "fax_number": "816-276-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEMS",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "103897",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "103897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208283523",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.