Garry Dean Weide Jr., D.O.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

036134829 Issued in IL

Practice address

202 10TH St SE
Cedar Rapids, IA 52403-2414

Phone

(319) 362-5118

Fax

(319) 364-0574

NPI assigned

Nov 29, 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

Enrolled in IA

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 1

Specialty

Thoracic SurgeryAlso: General Surgery

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Methodist HospitalGroup PAC ID 6608786751, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045
• Regional Medical Center Hospital, Manchester, IA, CCN 161343
• Jones Regional Medical Center Hospital, Anamosa, IA, CCN 161306
• Compass Memorial Healthcare Hospital, Marengo, IA, CCN 161317

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gweide515723@direct.unitypoint.org

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.

• St. Luke'S Methodist Hospital

  • Cardiovascular Disease Physician
  • Cedar Rapids, IA
  • NPI 1073553939
  Medicare reassignment Care Compare group NPD
• Allen Memorial Hospital Corporation

  • Women's Health Nurse Practitioner
  • Waterloo, IA
  • NPI 1891772927
  Medicare reassignment NPD
• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  Medicare reassignment NPD
• Allen Memorial Hospital Corporation

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1346292521
  NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Doctorsnow Walk-in Care, L.C.

  • Family Medicine Physician
  • Altoona, IA
  • NPI 1649394503
  NPD (past)
• Trinity Regional Medical Center

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD (past)

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

• Delaware County Memorial Hospital

  • Critical Access Hospital
  • Manchester, IA
  • NPI 1750354676
  Care Compare affiliation
• Marengo Memorial Hospital

  • Critical Access Hospital
  • Marengo, IA
  • NPI 1053368191
  Care Compare affiliation
• St Luke'S Jones Regional Medical Center

  • Critical Access Hospital
  • Anamosa, IA
  • NPI 1164514741
  Care Compare affiliation
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  Care Compare affiliation

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760559496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032414",
            "telephone_number": "319-362-5118",
            "fax_number": "319-364-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032414",
            "telephone_number": "319-362-5118",
            "fax_number": "319-364-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDE",
        "first_name": "GARRY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036134829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lou Ann Weber
• Rebecca Leight Weber, RN
• Staci L Wedel, MD
• Lee Weeda, ARNP
• Melissa J Wehr, LISW
• Katie Weigel
• Gary Weinman, M.D.
• Tara L Weir, DNP, ARNP, FNP-C
• Bruce Howard Weisbein, D.C.
• Debra Weiss, PT

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.