NPIMap

Individual provider Active NPI

Ammon David Weber, MD

  • Family Medicine Physician
  • Borger, TX
National Provider Identifier
1851499248
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4646 Issued in TX
Practice address
100 S McGee St
Borger, TX 79007-4020
Phone
(806) 274-5131
Fax
(806) 274-5132
NPI assigned
Sep 20, 2006
Last updated
Aug 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M4646 TX Primary

Addresses

Primary practice location

100 S McGee St
Borger, TX 79007-4020

Mailing address

100 S McGee St
Borger, TX 79007-4020
Phone (806) 274-5131

Other identifiers 1

IdentifierTypeStateIssuer
188178101MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070627000716 TX Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 2961463856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GPCH LLCGroup PAC ID 0042303232, 14 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Borger, TX 79007-7579
Phone (806) 467-5707

100 S McGee St
Borger, TX 79007-4041
Phone (806) 467-5700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4646TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of South Texas LLC CurrentSince Feb 12, 2019 Accepting new patients
GPCH, LLC Current Accepting new patients
GPCH, LLC CurrentSince Feb 9, 2021 Accepting new patients
Mercy Hospital Springfield Past Accepting new patients
Gerry P Holland DO PA Past Accepting new patients
Mercy Clinic Springfield Communities Family Medicine Past Accepting new patients

Locations

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

100 S McGee St
Borger, TX 79007
Phone (806) 273-7118

100 S McGee St
Ste 101
Borger, TX 79007
Phone (806) 274-5131

202 S McGee St
Ste B
Borger, TX 79007
Phone (806) 467-5804

50 Medical Plz
Borger, TX 79007
Phone (806) 467-5350

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

Interoperability endpoints

  • Direct secure messaging: ammon.weber.p1@direct.gpspecialtyclinic.nextgenshare.com

Organizations & group practices 8

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 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1851499248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MCGEE ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790074020",
            "telephone_number": "806-274-5131",
            "fax_number": "806-274-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MCGEE ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790074020",
            "telephone_number": "806-274-5131",
            "fax_number": "806-274-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "AMMON",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188178101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Borger, TX

Sources for this page

Verify at the official NPI Registry.