Active NPI
David J. Weber, P.C.
- Family Medicine Physician
- Memphis, TN
National Provider Identifier
1881754364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21064
- Legal business name
- DAVID J. WEBER, P.C.
- Practice address
- 407 Stonewall St
Memphis, TN 38112-5115 - Phone
- (901) 278-6963
- Fax
- (901) 274-5224
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan Weber
- Title
- Office Manager
- Phone
- (901) 278-6963
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21064 | TN | Primary |
Addresses
Primary practice location
407 Stonewall St
Memphis, TN 38112-5115
Mailing address
407 Stonewall St
Memphis, TN 38112-5115
Phone (901) 278-6963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Arlington, TN
- NPI 1144463431
-
- Family Medicine Physician
- Memphis, TN
- NPI 1629143953
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1194066712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615248000000",
"number": "1881754364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 STONEWALL ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381125115",
"telephone_number": "901-278-6963",
"fax_number": "901-274-5224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 STONEWALL ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381125115",
"telephone_number": "901-278-6963",
"fax_number": "901-274-5224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J. WEBER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "901-278-6963",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TN",
"license": "21064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.