BRENT M WEBER (NPI# 1407146657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407146657 |
| Entity Type | Individual |
| Full Name | BRENT M WEBER |
| Credential | MD |
| Practice Address |
1000 Health Center Dr Mattoon IL 61938-9261 |
| Mailing Address |
1005 Health Center Dr Ste 201 Mattoon IL 61938-4693 |
| Practice Telephone | 2172582551 |
| Practice Fax Number | 2172582256 |
| Mailing Telephone | 2172386055 |
| Mailing Fax Number | 2172582216 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036-145547 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 0101256607 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 236652040 | 7577646800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184248965 | Brent Weber | Counselor | 1540 International Pkwy, Sanford, FL 32771 | 2020-06-08 |
| 1114494069 | Brent Matthew Weber | Psychologist | 1613 M 139, Benton Harbor, MI 49022-5748 | 2018-10-30 |
| 1043462302 | Brent Weber | Physical Therapist | 2004 Twin City Dr, Mandan, ND 58554-3820 | 2008-10-17 |
| Street Address |
1000 HEALTH CENTER DR |
| City | MATTOON |
| State | IL |
| Zip Code | 61938-9261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477004 | Lynn Raoul Dale | Radiology | 1000 Health Center Dr, Mattoon, IL 61938-9253 | 2005-09-13 |
| 1003426974 | Vincent P Cagungun | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-08-05 |
| 1457961328 | Amber Leigh Craven | Nurse Anesthetist, Certified Registered | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-08-05 |
| 1861017485 | Gwendolyn Janes | Pharmacist | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-06-09 |
| 1194347724 | Erin Smitley | Dietitian, Registered | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-05-18 |
| 1649805623 | Kimberly Sikorski | Nurse Practitioner | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-03-10 |
| 1891329280 | Kiersten Emberton | Hospitalist | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2020-02-25 |
| 1255977468 | Lauren Heaton | Physical Therapist | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2019-11-22 |
| 1295371599 | Molly Dyer | Occupational Therapist | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2019-11-21 |
| 1497305908 | Dana Sautter | Physician Assistant | 1000 Health Center Dr, Mattoon, IL 61938-4644 | 2019-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| Find all providers in zip 61938 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477000651 | Seecure Billing Md PC | Emergency Medicine | 1509 Lake Land Blvd, Mattoon, IL 61938-5913 | 2016-09-06 |
| 1558386961 | Douglas Kabbes | Emergency Medicine | 200 Richmond Ave E, Mattoon, IL 61938 | 2006-07-13 |
| 1447510805 | George Issac Plamoottil | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2012-05-20 |
| 1841589165 | Joshua Aaron Novak | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2011-04-07 |
| 1750531638 | Nicole Y Ottens | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2008-09-26 |
| 1790976918 | Aziz Ahmed | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2007-08-05 |
| 1932300548 | Joni D. Ferguson | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2007-05-30 |
| 1215159744 | Aja Lystila | Emergency Medicine | 2512 Hurst Dr., Family Medicine, Mattoon, IL 61938-9388 | 2007-05-03 |
| 1427164144 | Michael Lamonto | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2006-08-23 |
| 1386750008 | James Hildebrandt | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2006-08-23 |
| Find all providers in MATTOON | ||||
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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.