Douglas Ryan Weber, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS019070 Issued in PA

Practice address

1100 Grampian Blvd
Williamsport, PA 17701-1909

Phone

(570) 320-7525

Fax

(570) 320-7484

NPI assigned

Feb 17, 2011

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: d.weber@broadtopmedical.medentdirect.com

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.

• Broad Top Area Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Broad Top, PA
  • NPI 1063514453
  Medicare reassignment NPD
• Broad Top Area Medical Center Inc

  dba Juniata Valley BTAMC Clinic

  • Federally Qualified Health Center (FQHC)
  • Alexandria, PA
  • NPI 1437878667
  NPD
• Broad Top Area Medical Center, Inc

  dba BTAMC Belleville Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Belleville, PA
  • NPI 1659945483
  NPD (past)

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1538466198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900",
            "telephone_number": "570-326-8723",
            "fax_number": "570-326-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011909",
            "telephone_number": "570-320-7525",
            "fax_number": "570-320-7484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Bryan St",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "PA",
            "postal_code": "166522410",
            "country_code": "US",
            "telephone_number": "814-643-8299",
            "fax_number": "814-643-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "DOUGLAS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-17",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS019070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Ann Wassmer, RN
• Heather Way
• Mikayla Rose Weaver, PHDHP
• Leslie Anne Webb, M.D.
• Jessie Webber, M.S., CCC-SLP
• Leonard Albert Weber Jr., PA-C
• Rebecca Weber, PA-C
• Brian Webster
• Wegmans Food Markets, Inc. (Wegmans Pharmacy #078)
• Weis Markets Inc (Weis Pharmacy)

• Psychiatry Physician in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.

Verify at the official NPI Registry.