Individual provider Active NPI

Brian J. Weeks, D.O.

  • Emergency Medicine Physician
  • Kenton, OH
National Provider Identifier
1629058136
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34-00-7234-W Issued in OH
Practice address
921 E Franklin St
Kenton, OH 43326-2020
Phone
(419) 673-0761
Fax
(419) 673-9366
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34-00-7234-W OH Primary

Addresses

Primary practice location

921 E Franklin St
Kenton, OH 43326-2020

Mailing address

8176 Crossgate CT N
Dublin, OH 43017-8431
Phone (614) 889-6262

Other identifiers 2

IdentifierTypeStateIssuer
2206151MedicaidOH
000000198246OtherOHBLUECROSS BLUESHIELD

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000723 OH Practitioner - Emergency Medicine 7416844964 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Emergency Services, LLC Emergency Medicine CurrentSince Nov 1, 2005 Accepting new patients
Emergency Medicine Physicians of Cuyahoga County, LTD Emergency Medicine Past Accepting new patients
Nes Ohio, Inc. Emergency Medicine Past Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients
Emergency Medical Services of Lorain, Inc. Emergency Medicine PastSince May 22, 2022 Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Wadsworth, LTD. Emergency Medicine Past Accepting new patients
Emergency Medical Services of Lorain, Inc. Emergency Medicine PastSince May 22, 2022 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

5868 N Hamilton Rd
New Albany, OH 43054
Phone (614) 788-9350

1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601

4141 N Hampton Dr
Powell, OH 43065
Phone (614) 788-9340

Organizations & group practices 8

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1629058136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8176 CROSSGATE CT N",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178431",
            "telephone_number": "614-889-6262",
            "fax_number": "614-799-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E FRANKLIN ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433262020",
            "telephone_number": "419-673-0761",
            "fax_number": "419-673-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "BRIAN",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34-00-7234-W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206151",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "000000198246",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenton, OH

Sources for this page

Verify at the official NPI Registry.