DR. JOHN WILLIAM WEEDIN (NPI# 1629309588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629309588 |
| Entity Type | Individual |
| Full Name | DR. JOHN WILLIAM WEEDIN |
| Credential | M.D. |
| Practice Address |
6620 Main St Suite 1325, Ms Bcm 380 Houston TX 77030-2348 |
| Mailing Address |
5601 De Soto Ave Woodland Hills CA 91367-6701 |
| Practice Telephone | 7137984001 |
| Mailing Telephone | 7137984001 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2020-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | A121212 | CA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | BP20029578 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
6620 MAIN ST SUITE 1325, MS BCM 380 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930276 | Texas International Endoscopy Center, Lp | Clinic/Center | 6620 Main St, Ste 1500, Houston, TX 77030-2331 | 2005-05-24 |
| 1770102287 | Scott Zhou | Student in an Organized Health Care Education/Training Program | 6620 Main St, Houston, TX 77030-2348 | 2020-04-14 |
| 1831678788 | Anam Rahim | Nurse Practitioner | 6620 Main St, Houston, TX 77030-2348 | 2018-08-11 |
| 1679076103 | Saleema Ali | Nurse Practitioner | 6620 Main St, Houston, TX 77030-2348 | 2018-03-11 |
| 1447768346 | Jennifer Alicia Cabrera | Nurse Practitioner | 6620 Main St, Houston, TX 77030-2348 | 2018-01-14 |
| 1609303536 | Jacqueline Florence Birnbaum | Internal Medicine | 6620 Main St, Houston, TX 77030-2348 | 2017-05-23 |
| 1952838567 | Paola Matheus | General Acute Care Hospital | 6620 Main St, Suite 11d.32.8, Houston, TX 77030-2348 | 2017-05-12 |
| 1497203640 | Michael Byrd | Nurse Practitioner | 6620 Main St, Suite 1350, Houston, TX 77030-2348 | 2016-09-16 |
| 1285181305 | Kathryn Elizabeth Kenny King | Physician Assistant | 6620 Main St, Suite 1350, Houston, TX 77030-2348 | 2016-09-07 |
| 1629425103 | Thomas Joseph Quehl | Internal Medicine | 6620 Main St, 11th Floor - Bcm 620, Houston, TX 77030-2348 | 2016-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587169 | Jasgurpreet Singh | Urology | 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 | 2020-08-08 |
| 1114311933 | Marshall Stein | Urology | 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 | 2015-03-19 |
| 1922425230 | Boston Medical Group - Texas, P.a. | Urology | 1776 Yorktown St Ste 110, Houston, TX 77056-4138 | 2014-03-25 |
| 1902232846 | Hajar Ayoub | Urology | 6410 Fannin St Ste 420, Uthealth Urology Physicians, Houston, TX 77030-3007 | 2013-09-24 |
| 1326389941 | Harvey Lawrence Gordon | Urology | 1401 Calumet St, Unit #512, Houston, TX 77004-7157 | 2013-03-06 |
| 1619230869 | Jonathan Clavell Hernandez | Urology | 1315 St Joseph Pkwy Ste 1700, Houston, TX 77002-8232 | 2012-06-22 |
| 1528327715 | Alberto Christian Pieretti | Urology | 1515 Holcombe Blvd Unit 1373, Houston, TX 77030-4000 | 2012-05-09 |
| 1437417490 | Demetrio Tagaropules M.d., P.a. | Urology | 820 Richmond Ave, Houston, TX 77006-5514 | 2012-04-27 |
| 1831469428 | John Mathis Baird | Urology | 1201bering Dr., #75, Houston, TX 77057-2308 | 2012-01-12 |
| 1043540149 | Kumaran Sathyamoorthy | Urology | 2204 Bellefontaine St, Houston, TX 77030-3202 | 2010-01-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.