Active NPI
Lance Wade Weathers, MD
- Cardiovascular Disease Physician
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- E-7387
- Practice address
- 2708 Rife Medical Lane
Ste 220
Rogers, AR 72758-1452 - Phone
- (479) 338-4400
- Fax
- (479) 338-4445
- NPI assigned
- Nov 6, 2007
- Last updated
- Dec 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-7387 | AR | |
| Cardiovascular Disease Physician | 207RC0000X | E-7387 | AR | Primary |
Addresses
Primary practice location
2708 Rife Medical Lane
Ste 220
Rogers, AR 72758-1452
Mailing address
2708 Rife Medical Lane
Ste 220
Rogers, AR 72758-1452
Phone (479) 338-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Mercy Way
Bella Vista, AR 72714-3000
Phone (479) 802-5555
207 Carter St
Berryville, AR 72616-4303
Phone (870) 423-6661
211 Carter St
Berryville, AR 72616-4303
Phone (870) 423-3338
2708 S Rife Medical LN
Suite T30
Rogers, AR 72758-1458
Phone (479) 338-3999
2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 636-0200
3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 631-2100
4600 Mercy LN
Springdale, AR 72762-3070
613 Orchard Dr
Berryville, AR 72616-5013
Phone (479) 338-4400
Hospital & facility affiliations
- Mercy Hospital Northwest Arkansas
- Mercy Hospital Berryville
- Mercy Hospital Fort Smith
- Mercy Hospital - Cassville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 68 |
| Leg revascularization (restoring blood flow) | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-7387 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
214 Carter St
Berryville, AR 72616
Phone (870) 423-3355
2708 S Rife Medical Ln
Ste 220
Rogers, AR 72758
Phone (479) 338-4400
Interoperability endpoints
- lweathers265726@directc.mercy.net
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
dba Mercy Radiology Berryville
- Diagnostic Radiology Physician
- Berryville, AR
- NPI 1720022510
-
dba Mercy Clinic General Surgery-Berryville
- Surgery Physician
- Berryville, AR
- NPI 1053346270
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1447699434
Internal Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Berryville, AR
- NPI 1457306326
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
- Critical Access Hospital
- Cassville, MO
- NPI 1285676932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1902086119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 RIFE MEDICAL LANE",
"address_2": "STE 220",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581452",
"telephone_number": "479-338-4400",
"fax_number": "479-338-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 RIFE MEDICAL LANE",
"address_2": "STE 220",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581452",
"telephone_number": "479-338-4400",
"fax_number": "479-338-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERS",
"first_name": "LANCE",
"middle_name": "WADE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-06",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-7387",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AR",
"license": "E-7387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.