Individual provider Active NPI

Paul W Weber, MD

  • Pediatrics Physician
  • Piqua, OH
National Provider Identifier
1942278940
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35070435 Issued in OH
Practice address
280 Looney Rd
Suite 101
Piqua, OH 45356-4199
Phone
(937) 440-8687
Fax
(937) 773-8058
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35070435 OH Primary

Addresses

Primary practice location

280 Looney Rd
Suite 101
Piqua, OH 45356-4199

Mailing address

280 Looney Rd
Suite 101
Piqua, OH 45356-4199
Phone (937) 440-8687

Other identifiers 1

IdentifierTypeStateIssuer
0286113MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20091231000002 OH Practitioner - Pediatric MedicinePractitioner - Preventive MedicinePractitioner - Pathology 4688715428 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby County Ohio CurrentSince Jun 1, 2022 Accepting new patients
Upper Valley Professional Corporation CurrentSince Nov 3, 2009 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Community Mercy Health Partners Past Accepting new patients

Locations

280 Looney Rd
Ste 101
Piqua, OH 45356
Phone (937) 440-8687

280 Looney Rd
Ste 203
Piqua, OH 45356
Phone (937) 440-8687

202 W Poplar St
Sidney, OH 45365
Phone (937) 498-7249

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

450 N Hyatt St
Ste 204
Tipp City, OH 45371
Phone (937) 440-8687

31 S Stanfield Rd
Ste 201
Troy, OH 45373
Phone (937) 440-7788

3130 N County Road 25A
Ste 201
Troy, OH 45373
Phone (937) 208-6630

Organizations & group practices 4

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1942278940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 LOONEY RD",
            "address_2": "SUITE 101",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564199",
            "telephone_number": "937-440-8687",
            "fax_number": "937-773-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 LOONEY RD",
            "address_2": "SUITE 101",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564199",
            "telephone_number": "937-440-8687",
            "fax_number": "937-773-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35070435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0286113",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piqua, OH

Sources for this page

Verify at the official NPI Registry.