Individual provider Active NPI

Andrew Harvey Weary, M.D.

  • Family Medicine Physician
  • Lockhart, TX
National Provider Identifier
1609861517
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F3659 Issued in TX
Practice address
300 S Colorado St Ste a-D
Lockhart, TX 78644
Phone
(512) 376-9690
Fax
(512) 398-3755
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F3659 TX Primary

Addresses

Primary practice location

300 S Colorado St Ste a-D
Lockhart, TX 78644

Mailing address

300 S Colorado St Ste a-D
Lockhart, TX 78644-2700
Phone (512) 376-9690

Other practice location 1

1000 E 41st St
Suite 925
Austin, TX 78751-4810
Phone (512) 978-9940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040520001536 TX Practitioner - Family Practice 7911998604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension SetonGroup PAC ID 5193634293, 54 clinicians

Practice addresses (Care Compare)

209 S Church St
Suite Aandb
Lockhart, TX 78644-2713
Phone (512) 376-2999

300 S Colorado St
Lockhart, TX 78644-2700
Phone (512) 738-0625

300 S Commerce St
Suite B
Lockhart, TX 78644-2887
Phone (512) 398-2331

Hospital & facility affiliations

  • Ascension Seton Edgar B Davis Hospital, Luling, TX, CCN 451371

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton CurrentSince Sep 1, 2019 Accepting new patients
Ascension Seton Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Seton Family of Hospitals Past Accepting new patients

Locations

300 S Colorado St
Ste Ad
Lockhart, TX 78644
Phone (512) 376-9690

300 S Colorado St
Ste A
Lockhart, TX 78644
Phone (512) 376-3377

130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000

Interoperability endpoints

  • Direct secure messaging: andrew.weary.1@8363.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1609861517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S COLORADO ST STE A-D",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442700",
            "telephone_number": "512-376-9690",
            "fax_number": "512-398-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S COLORADO ST STE A-D",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "78644",
            "telephone_number": "512-376-9690",
            "fax_number": "512-398-3755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E 41st St",
            "address_2": "Suite 925",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787514810",
            "country_code": "US",
            "telephone_number": "512-978-9940",
            "fax_number": "512-901-9702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEARY",
        "first_name": "ANDREW",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockhart, TX

Sources for this page

Verify at the official NPI Registry.