Provider Demographics
NPI:1285611681
Name:WEBER, JOHN C (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:WEBER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 LINCOLN CIR SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-1862
Mailing Address - Country:US
Mailing Address - Phone:712-737-2000
Mailing Address - Fax:712-737-2115
Practice Address - Street 1:1000 LINCOLN CIR SE
Practice Address - Street 2:SUITE 100
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1862
Practice Address - Country:US
Practice Address - Phone:712-737-2000
Practice Address - Fax:712-737-2115
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2023-02-09
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Provider Licenses
StateLicense IDTaxonomies
IA32578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA16674OtherFIRST ADMINISTRATORS
IA21622OtherSIOUX VALLEY HEALTH PLAN
IA7358OtherAVERA HEALTH PLAN
IA634626Medicaid
IA9163865Medicaid
IA0117864OtherMEDICA
IA0117864OtherUNITED HEALTH CARE
IAG63099OtherCOVENTRY HEALTH CARE
IA16674OtherIOWA BANKERS
IA16674OtherWELLMARK BCBS CLINIC LOCA
IA2213868Medicaid
IA23661OtherMIDLANDS CHOICE
IA42603840551041OtherWPS TRICARE
IA703361026910OtherPREFERRED ONE
IA426038405OtherCIGNA
IA45714OtherBC/BS ER LOCATION
IA42603840551041OtherWPS TRICARE
IA16674Medicare PIN