Active NPI
Steven E Weber, MD
- Surgery Physician
- Pana, IL
National Provider Identifier
1982689691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036094972
- Practice address
- 101 E 9TH St
Pana, IL 62557-1716 - Phone
- (217) 562-2544
- Fax
- (217) 562-6288
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036094972 | IL | Primary |
Addresses
Primary practice location
101 E 9TH St
Pana, IL 62557-1716
Mailing address
101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-2544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036097972 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1982689691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E 9TH ST",
"city": "PANA",
"state": "IL",
"postal_code": "625571716",
"telephone_number": "217-562-2544",
"fax_number": "217-562-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E 9TH ST",
"city": "PANA",
"state": "IL",
"postal_code": "625571716",
"telephone_number": "217-562-2544",
"fax_number": "217-562-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "STEVEN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036094972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036097972",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.