Michael Jake Webster

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000016604 Issued in SC

Practice address

2439 Willwood Dr
Florence, SC 29501-3904

Phone

(843) 855-2269

NPI assigned

Dec 15, 2014

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1740688225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 WILLWOOD DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013904",
            "telephone_number": "843-855-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 WILLWOOD DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013904",
            "telephone_number": "843-855-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "MICHAEL",
        "middle_name": "JAKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "2000016604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Rebecca Weaver, APRN
• Timothy C Weaver, APRN
• C. Bliss Webb, DO
• Charles Marshall Webb, MD
• Richard D Weber, DPM
• Tyler Edward Weeks, DO
• Jessica Tomlinson Wegmann, PA-C
• Jeanine Gay Weill, OTR/L
• Weinbaum Clinical Services
• Weinbaum Psychiatric Services

• Athletic Trainer in Florence, SC
• Providers in Florence, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.