NPIMap

Individual provider Active NPI

Jane A Weida, MD

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1760446736
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD34444 Issued in AL
Practice address
850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7419
Phone
(205) 348-1770
Fax
(205) 348-6561
NPI assigned
Apr 14, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD039541E PA
Family Medicine Physician 207Q00000X MD34444 AL Primary

Addresses

Primary practice location

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7419

Mailing address

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7419
Phone (205) 348-1770

Other identifiers 2

IdentifierTypeStateIssuer
0016311940006MedicaidPA
176365MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040121000482 PA Practitioner - Family Practice 6103728274 Reassigns benefits to 1 organization
I20150825005449 AL Practitioner - Family Practice 6103728274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

809 University Blvd E
Tuscaloosa, AL 35401-7419
Phone (205) 348-1770

850 5TH Ave E
Tuscaloosa, AL 35401-7419
Phone (205) 348-1770

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039541EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital Family Medicine CurrentSince Sep 6, 2009 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Aug 1, 2015 Accepting new patients
Reading Hospital CurrentSince Sep 6, 2009 Accepting new patients
Capstone Health Services Foundation PC Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Abington Memorial Hospital Past Accepting new patients

Locations

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

301 S 7th Ave
Ste 200
West Reading, PA 19611
Phone (484) 626-8198

6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269

Interoperability endpoints

  • Direct secure messaging: jane.weida.p1@direct.umc.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760446736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PETER BRYCE BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017419",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PETER BRYCE BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017419",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDA",
        "first_name": "JANE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039541E",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD34444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016311940006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176365",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.