Provider Demographics
NPI:1215048657
Name:WEES, STEVEN J (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:WEES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 S 144TH ST STE 240
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-5201
Mailing Address - Country:US
Mailing Address - Phone:402-315-6200
Mailing Address - Fax:402-315-6210
Practice Address - Street 1:2727 S 144TH ST STE 240
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-5201
Practice Address - Country:US
Practice Address - Phone:402-315-6200
Practice Address - Fax:402-315-6210
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE15771207RR0500X
IA22901207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025793100Medicaid
NE47068731720Medicaid
NE47068731713Medicaid
IA3958231Medicaid
IA2958231Medicaid
NE30701OtherBCBSN
NE271571Medicare ID - Type Unspecified
NE10025793100Medicaid
IA3958231Medicaid
B90818Medicare UPIN