MARK D WEBER (NPI# 1679653521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679653521 |
| Entity Type | Individual |
| Full Name | MARK D WEBER |
| Credential | NP |
| Practice Address |
3401 Civic Center Blvd Ste 9329 Philadelphia PA 19104-4319 |
| Mailing Address |
100 E Penn Square 9th Floor North-caa Philadelphia PA 19107-3377 |
| Practice Telephone | 2159397176 |
| Practice Fax Number | 2155901415 |
| Mailing Telephone | 2674259309 |
| Mailing Fax Number | 2674259331 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
SP007670 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP007670 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5003907 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
62436 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
SP007670 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336500107 | Mark Timothy Weber | Counselor | 2100 Robin Ln, Taylor, TX 76574-1374 | 2016-03-08 |
| 1356493241 | Mark Joseph Weber | Dentist | 9513 Whipps Mill Rd, Louisville, KY 40242-3640 | 2007-01-18 |
| 1669555785 | Mark Dennis Weber | Orthopaedic Surgery | 2333 Progress Rd, Mid Michigan Family Orthopaedics PC, West Branch, MI 48661 | 2006-10-23 |
| 1215032487 | Mark W. Weber | Social Worker | 21 Gorham Ave, Brookline, MA 02445-6844 | 2006-09-13 |
| 1972591261 | Mark Wayne Weber | Ophthalmology | 515 E 1st St, Salida, CO 81201-2805 | 2005-10-11 |
| 1871589564 | Mark C Weber | Chiropractor | 350 W 10th St, Suite A, Erie, PA 16502-1443 | 2005-09-27 |
| 1831551159 | Mark Weber | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2016-03-25 |
| 1164806329 | Mark R Weber | Physician Assistant | 25455 Barton Rd, Loma Linda, CA 92354-3128 | 2015-07-16 |
| 1295048296 | Mark D Weber | Family Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2010-07-19 |
| 1730215328 | Mark N Weber | Pediatrics | 881 Commonwealth Ave, Boston, MA 02215-1390 | 2007-02-26 |
| Street Address |
3401 CIVIC CENTER BLVD STE 9329 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326072760 | Paul A Stricker | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2006-07-10 |
| 1952821076 | Jayme Leigh Decker | Registered Nurse | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2017-06-20 |
| 1164817953 | Lenard Babus | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2015-03-30 |
| 1619374667 | Lauren Lewis | Nurse Anesthetist, Certified Registered | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104 | 2014-11-19 |
| 1407261878 | Martha Kienzle | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2014-06-24 |
| 1083024376 | Grace Shih | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2014-05-07 |
| 1376953646 | Mohammed Issam Habis | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2014-05-07 |
| 1205254398 | Anushree Doshi | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2014-04-04 |
| 1447678826 | Rodrigo Javier Daly Guris | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2014-04-02 |
| 1548687650 | Amanda Jean Bernier O'halloran | Pediatrics | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2014-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427582 | Lauren Marie Louderback | Nurse Practitioner | 3401 Civic Center Blvd Fl 7, Philadelphia, PA 19104-4319 | 2017-10-10 |
| 1225376437 | Adam Ryan Denson | Nurse Practitioner | 3504 Ainslie St, Philadelphia, PA 19129-1630 | 2013-01-22 |
| 1952688152 | Lauren Leigh Charters | Nurse Practitioner | 3400 Civic Center Blvd # 439, Philadelphia, PA 19104-5127 | 2011-11-16 |
| 1275786964 | Jacqueline Ioli | Nurse Practitioner | 4510 Frankford Avenue, Philadelphia, PA 19124 | 2008-10-28 |
| 1346840519 | Vanessa Leigh Jones | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-27 |
| 1437756020 | Jennifer-rose Eccles | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-06 |
| 1477171825 | Britny Fox | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-07-13 |
| 1053935072 | David J Derosier Jr. | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-06-05 |
| 1487276267 | Erica Addesa | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-05-14 |
| 1952930554 | Danielle Marie Lamarra | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on MARK D WEBER.
| 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.