Individual provider Active NPI

Raymond M Weick, MD

  • Family Medicine Physician
  • Festus, MO
National Provider Identifier
1891756524
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002014088 Issued in MO
Practice address
1390 US Highway 61
Suite N1000
Festus, MO 63028-4137
Phone
(636) 933-9300
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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 2002014088 MO Primary

Addresses

Primary practice location

1390 US Highway 61
Suite N1000
Festus, MO 63028-4137

Mailing address

1390 US Highway 61
Suite N1000
Festus, MO 63028-4137
Phone (636) 933-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20040724000397 MO Practitioner - Family Practice 1355321795 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002014088MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Mercy Clinic East Communities Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Mercy Clinic Children's Cancer & Hematology LLC PastSince Jan 24, 2012 Accepting new patients
Mercy Clinic Children's Respiratory and Sleep Medicine, LLC PastSince Jul 1, 2022 Accepting new patients
Mercy Clinic Gastroenterology, LLC PastSince Jul 1, 2023 Accepting new patients

Locations

1390 US Highway 61
Ste N-1000
Crystal Cty, MO 63028
Phone (636) 933-9300

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

16555 Manchester Rd
Ste 100
Wildwood, MO 63040
Phone (636) 458-0646

Interoperability endpoints

  • Direct secure messaging: rweick112@directc.mercy.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1891756524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61",
            "address_2": "SUITE N1000",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-933-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61",
            "address_2": "SUITE N1000",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-933-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEICK",
        "first_name": "RAYMOND",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002014088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.