Roger Allan Weber, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1528 Issued in FL

Practice address

1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521

Phone

(772) 398-3800

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Punta Gorda, FL
  • NPI 1376592063
  NPD (past)
• Hillmoor ER SVCS Partnership

  • Emergency Medicine Physician
  • Port St Lucie, FL
  • NPI 1962451930
  NPD (past)
• Okeechobee Emergency Physicians Inc

  • Emergency Medicine Physician
  • Okeechobee, FL
  • NPI 1487640645
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1699713420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SE CELESTIA CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832119",
            "telephone_number": "772-871-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE TIFFANY AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527521",
            "telephone_number": "772-398-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "ROGER",
        "middle_name": "ALLAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA1528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damaris Weaver, RDH
• Webb Chiropractic Clinic PA
• Jack L Webb, D.C.
• Suzette Webb
• Amy M Weber, FNP
• Amber Wehrle, DC
• Emilly Armstrong Weise
• Kenneth Weiss, M.D.
• Eric M Welling, MPT
• Wellmed Medical Management of Florida Inc

• Physician Assistant in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.