| Michael Conrad Weber, DO | |
|
34800 Bob Wilson Drive, San Diego, CA 92134 | |
| (619) 532-6471 | |
| Not Available |
| Full Name | Michael Conrad Weber |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 11 Years |
| Location | 34800 Bob Wilson Drive, San Diego, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003231861 | NPI | - | NPPES |
| VADOOO | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 5101020900 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Trenton | Trenton, MI | Hospital |
| Beaumont Hospital - Taylor | Taylor, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| Entity Name | Anesthesia Services Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497797153 PECOS PAC ID: 4385557602 Enrollment ID: O20031111000822 |
| Entity Name | Metropolitan Anesthesia Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386679868 PECOS PAC ID: 8921077249 Enrollment ID: O20041001000930 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Conrad Weber, DO 4201 St. Antoine, 9c/uhc, Detroit, MI 48201 Ph: (313) 745-5147 | Michael Conrad Weber, DO 34800 Bob Wilson Drive, San Diego, CA 92134 Ph: (619) 532-6471 |
Shawn Raveenth Vedamani, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Susanna Byrne, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-6400 | |
Dr. Paige Tsuda, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Thomas J. Pietuch, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3626 Ruffin Rd, San Diego, CA 92123 Phone: 858-565-9666 Fax: 858-565-9441 | |
Dr. Ching-rong Cheng, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Ucsd Medical Center, 200 West Arbor Drive Mc 0801, San Diego, CA 92103 Phone: 619-543-5720 | |
Dr. Jeffrey Koji Sakihara, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3626 Ruffin Rd, San Diego, CA 92123 Phone: 858-565-9666 Fax: 858-565-9441 |