Judah David Weathers, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

18636 Issued in NH

Practice address

1 Parkland Dr
Derry, NH 03038-2746

Phone

(603) 432-1500

NPI assigned

Apr 21, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, MA2 enrollments

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 2

Specialty

PsychiatryAlso: Neuropsychiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Parkland Physician Services IncGroup PAC ID 1254226517, 19 clinicians

Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elliot Hospital Hospital, Manchester, NH, CCN 300012
• Parkland Medical Center Hospital, Derry, NH, CCN 300017
• Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: judah.weathers@hca6.eclinicaldirectplus.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.

• Appledore Medical Group, Inc

  • Internal Medicine Physician
  • Portsmouth, NH
  • NPI 1720077167
  Medicare reassignment Care Compare group NPD
• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Parkland Physician Services, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Derry, NH
  • NPI 1144388737
  Medicare reassignment Care Compare group NPD
• Lamora Psychological Associates, P.a.

  • Clinical Psychologist
  • Nashua, NH
  • NPI 1407876253
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• Elliot Hospital of the City of Manchester

  • Psychiatric Hospital Unit
  • Manchester, NH
  • NPI 1992880009
  NPD (past)
• Elliot Professional Services

  • Psychiatry Physician
  • Manchester, NH
  • NPI 1669431466
  NPD (past)
• HCA Health Services of New Hampshire Inc

  dba Parkland Medical Center

  • General Acute Care Hospital
  • Derry, NH
  • NPI 1174570683
  NPD (past)
• HCA Health Services of New Hampshire, Inc.

  dba Parkland Center for Emotional Wellness

  • Psychiatric Hospital Unit
  • Derry, NH
  • NPI 1053716258
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation
• HCA Health Services of New Hampshire Inc

  dba Parkland Medical Center

  • General Acute Care Hospital
  • Derry, NH
  • NPI 1174570683
  Care Compare affiliation
• HCA Health Services of New Hampshire Inc

  dba Portsmouth Regional Hospital

  • General Acute Care Hospital
  • Portsmouth, NH
  • NPI 1518913607
  Care Compare affiliation

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

{
    "created_epoch": "1366502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1730523754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MCGREGOR ST APT 427",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023709",
            "telephone_number": "202-423-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARKLAND DR",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382746",
            "telephone_number": "603-432-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Elliot Behavioral Health Services",
            "address_2": "445 Cypress Street, #8",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "03103",
            "country_code": "US",
            "telephone_number": "603-668-4079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "JUDAH",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-21",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "18636",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin S Walko, M.D.
• Anne Walsh
• Megan Ann Waring
• Kelley Watkins, APRN
• Katrina Adele Wayman, CNM
• Jeffrey Peter Wedge, LCMHC, MLADC
• John Francis Welter, DO
• Rebecca Katherine Wessling, PA-C
• Nicole West
• Sarah West

• Psychiatry Physician in Derry, NH
• Providers in Derry, NH by specialty
• Psychiatry Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.