Individual provider Active NPI

Ronald J Weber, MD

  • Family Medicine Physician
  • Wayne, PA
National Provider Identifier
1902874654
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-020316-E Issued in PA
Practice address
427 E Lancaster Ave
Wayne, PA 19087-4220
Phone
(610) 688-8807
Fax
(610) 688-2970
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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 MD-020316-E PA Primary

Addresses

Primary practice location

427 E Lancaster Ave
Wayne, PA 19087-4220

Mailing address

427 E Lancaster Ave
Wayne, PA 19087-4220
Phone (610) 688-8807

Other identifiers 1

IdentifierTypeStateIssuer
00699454MedicaidPA

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

LicenseStateTypeSpecialty
MD-020316-EPAMDFamily Medicine Physician
036053038ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Family Physicians Family Medicine Current Accepting new patients

Locations

400 E Lancaster Ave
Wayne, PA 19087
Phone (610) 687-3670

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1902874654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E LANCASTER AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874220",
            "telephone_number": "610-688-8807",
            "fax_number": "610-688-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E LANCASTER AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874220",
            "telephone_number": "610-688-8807",
            "fax_number": "610-688-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD-020316-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00699454",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.