Samuel David Weller
Family Medicine

Address: 35 S Twin St, West Jefferson, OH 43162-1442
Phone: 6148798141

Samuel David Weller (NPI# 1750324281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1750324281
Entity Type Individual
Full Name Samuel David Weller
Gender Male
Practice Address 35 S Twin St
West Jefferson
OH 43162-1442
Practice Telephone 6148798141
Practice Fax Number 6148799949
Mailing Address Po Box 951603
Cleveland
OH 44193-0018
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-06-13
Last Update Date 2007-12-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 35-07-9160 OH

Physician Overview

NPI 1750324281
PAC ID by PECOS 8527083682
Professional Enrollment ID I20051007000900
Full Name Samuel David Weller
Organization Legal Name MOUNT CARMEL - OSU PHYSICIAN ALLIANCE LLC
Phone Number 7408457500
Gender M
Credential MD
Medical School OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1998
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 2860617891
Number of Group Practice Members 11
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360189 MADISON COUNTY HOSPITAL INC
360035 MOUNT CARMEL WEST

Office Location

Street Address 35 S TWIN ST
City WEST JEFFERSON
State OH
Zip Code 43162-1442

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518945971 Bogdan A. Toplak Family Medicine 35 S Twin St, West Jefferson, OH 43162-1442 2006-01-05
1649445776 Mount Carmel Health Providers Inc Family Medicine 35 S Twin St, West Jefferson, OH 43162-1442 2008-04-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346796190 Briana Lynn Agler Occupational Therapy Assistant 375 West Main St., West Jefferson, OH 43162 2016-08-31
1912227158 West Jefferson Internal Medicine Nurse Practitioner 95 East Main Street, West Jefferson, OH 43162 2010-06-10
1235229675 Chau Chi Lin General Practice 82 West Main St, West Jefferson, OH 43162 2006-10-14
1457465478 Jeffrey Thomas Hayes Jr. Dentist 37 S Twin St, Jeffrey T Hayes Dds LLC, West Jefferson, OH 43162 2006-08-18
1306261409 Melissa Bowersock Speech-Language Pathologist 899 Norwood Dr, West Jefferson, OH 43162-1041 2014-02-26
1750823712 Paulette Palombo Speech-Language Pathologist 899 Norwood Dr, West Jefferson, OH 43162-1041 2016-11-08
1396736237 Colleen Opremcak Psychiatry & Neurology 146 Parkdale Dr, West Jefferson, OH 43162-1043 2005-10-31
1518969401 Kristy Fleagane Chiropractor 25 Inwood Rd, West Jefferson, OH 43162-1112 2005-08-11
1255526026 Krichael Corporation Chiropractor 25 Inwood Rd, W Jefferson, OH 43162-1112 2007-09-13
1871595595 Michael Kevin Monroe Chiropractor 25 Inwood Rd, West Jefferson, OH 43162-1112 2005-08-12
Find all providers in zip 43162

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184738338 Derek Robert Mcclure Family Medicine 952 Us Highway 221 Bus, West Jefferson, NC 28694 2006-08-17
1518945971 Bogdan A. Toplak Family Medicine 35 S Twin St, West Jefferson, OH 43162-1442 2006-01-05
1679040372 West Jefferson Urgent Care Family Medicine 95 E Main St, West Jefferson, OH 43162-1205 2018-10-31
1649445776 Mount Carmel Health Providers Inc Family Medicine 35 S Twin St, West Jefferson, OH 43162-1442 2008-04-29
1669644159 Darby Family Practice, Inc Family Medicine 487 W Main St, West Jefferson, OH 43162-1178 2008-03-25
1508991001 West Jefferson Family Practice Inc Family Medicine 2 E Main St, West Jefferson, OH 43162-1202 2007-02-23
1629167507 Kathleen Sue Busch Family Medicine 487 W Main St, West Jefferson, OH 43162-1178 2006-10-11
1275595274 Mark W Garwood Family Medicine 2 E Main St, West Jefferson, OH 43162-1202 2006-04-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679031678 Lima Memoiral Professional Corporation Family Medicine 375 N Eastown Rd Ste C, Lima, OH 45807-2209 2019-03-08
1417415720 Paladina Health, LLC Family Medicine 5399 Lauby Rd Ste 220, North Canton, OH 44720-1554 2019-03-05
1760940316 Health First Medical Center Family Medicine 140 Mill St Ste B, Gahanna, OH 43230-6509 2019-03-02
1265999502 Kristi Anglin Epstein Family Medicine 7155 Ashcombe, New Albany, OH 43054-8159 2019-02-22
1154887677 Dana A Kimbrell Family Medicine 407 W 7th St, Dover, OH 44622-2813 2019-02-20
1386109783 Pamela Dawn Holland Family Medicine 626 Arlington Dr, Cincinnati, OH 45244-1310 2019-02-10
1649735473 Brittany Zenk Family Medicine 2517 Eastmoreland Dr, Oregon, OH 43616-2770 2019-02-06
1023572401 Julie Elizabeth Burkhart Family Medicine 715 Richland Mall Ste A, Ontario, OH 44906-3802 2019-01-30
1871057349 Michelle Lee Kennard Family Medicine 199 Newton Ave, Newark, OH 43055-4772 2019-01-29
1871057992 Central State University Family Medicine 1400 Brush Row Rd., Wilberforce, OH 45384 2019-01-23
Find all providers with the same taxonomy

Competitor

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City WEST JEFFERSON
Zip Code 43162

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Dataset Information

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.

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