Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2163 | MA |
Y | 222Z00000X | Podiatrist | 2163 | MA |
N | 213EP1101X | Primary Podiatric Medicine | 2163 | MA |
N | 213ES0131X | Foot Surgery | 2163 | MA |
NPI | 1447220645 |
---|---|
Provider Name | Dr. Georgia Kim Weeber |
First Address | Greenfield, MA 01301-1521 |
Second Address | Greenfield, MA 01301-1521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 01/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000022096 | BMC HEALTHNET (01) | MA |
28487 | HEALTH NEW ENGLAND (01) | MA |
333437 | HARVARD PILGRIM HEALTH PL (01) | MA |
3715511 | AETNA (01) | MA |
4223254003 | CIGNA (01) | MA |
453533 | TUFTS (01) | MA |
756223 | CONNECTICARE (01) | MA |
U09108 | (02) | MA |
Y75094 | BLUE CROSS AND BLUE SHIEL (01) | MA |
Y75094 | MEDICARE (01) | MA |