Active NPI
Charles H Weeber III, MD
- General Practice Physician
- Amherst, MA
National Provider Identifier
1861481715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 30247
- Practice address
- 31 Hall Dr
Amherst Medical Center
Amherst, MA 01002-2751 - Phone
- (413) 256-8561
- Fax
- (413) 256-4421
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 30247 | MA | Primary |
Addresses
Primary practice location
31 Hall Dr
Amherst Medical Center
Amherst, MA 01002-2751
Mailing address
PO Box 8019
Springfield, MA 01102-8000
Phone (866) 431-4077
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H15014 | Other | MA | BLUE CROSS BLUE SHIELD-MA |
| 2357592 | Other | MA | AETNA |
| 24210 | Other | MA | HEALTH NEW ENGLAND |
| 1294774 | Other | MA | FALLON |
| 0191582 | Medicaid | MA | |
| 030247-7879 | Other | CONNECTICARE | |
| C57084 | Other | MA | HARVARD PILGRIM HEALTH CARE |
| 000000008368 | Other | MA | BMC |
| 102778 | Other | MA | CIGNA |
| 2155349 04 | Other | MA | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30247 | MA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1861481715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8019",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011028000",
"telephone_number": "866-431-4077",
"fax_number": "413-774-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 HALL DR",
"address_2": "AMHERST MEDICAL CENTER",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022751",
"telephone_number": "413-256-8561",
"fax_number": "413-256-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEBER",
"first_name": "CHARLES",
"middle_name": "H",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MA",
"license": "30247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD-MA",
"identifier": "H15014",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2357592",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "24210",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1294774",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0191582",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "030247-7879",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CARE",
"identifier": "C57084",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "000000008368",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "102778",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2155349 04",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.