Individual provider Active NPI

Charity Weberg, P.A.

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1639258015
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA04864 Issued in TX
Practice address
2838 N Loop 1604 E
Suite 104
San Antonio, TX 78232-1711
Phone
(210) 495-2117
Fax
(888) 893-4363
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA04864 TX Primary

Addresses

Primary practice location

2838 N Loop 1604 E
Suite 104
San Antonio, TX 78232-1711

Mailing address

2838 N Loop 1604 E
Ste 104
San Antonio, TX 78232-1712
Phone (210) 495-2117

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000603 TX Practitioner - Physician Assistant 4789786385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Rogers Medical Group PAGroup PAC ID 7315907565, 7 clinicians

Practice addresses (Care Compare)

2838 N Loop 1604
Suite 104
San Antonio, TX 78232-1712

2838 N Loop 1604 E
San Antonio, TX 78232-1712
Phone (210) 495-2117

5539 NW Loop 1604
104 Dr Rogers Wellness
San Antonio, TX 78253-7319
Phone (210) 495-2117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04864TXMDMedical Physician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1639258015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 N LOOP 1604 E",
            "address_2": "STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321712",
            "telephone_number": "210-495-2117",
            "fax_number": "888-893-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 N LOOP 1604 E",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321711",
            "telephone_number": "210-495-2117",
            "fax_number": "888-893-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBERG",
        "first_name": "CHARITY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.