DR. PAUL JEFFREY WEATHERBY MD NPI 1790341584

NPI Information

  • NPI: 1790341584
  • Provider Name: DR. PAUL JEFFREY WEATHERBY, MD
  • Classification: Orthopaedic Surgery - 207XX0004X
  • Specialization: Foot and Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1611 W HARRISON ST STE 400
    CHICAGO, IL
    ZIP 60612
  • Phone: (877) 632-6637

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NPI Details

DR. Paul Jeffrey Weatherby, MD is a foot and ankle surgery orthopaedic surgery in Chicago, IL with 6 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. DR. Paul Jeffrey Weatherby, MD NPI is 1790341584. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2019

The provider's business location address is:

1611 W HARRISON ST STE 400
CHICAGO, IL
ZIP 60612-861
Phone: (877) 632-6637
Fax: (708) 409-5179

The NPI 1790341584 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2019 and was last updated on 7/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery036169220ILLINOISNo
2207X00000XOrthopaedic Surgery01094386AINDIANANo
3207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery01094386AINDIANANo
4207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery036169220ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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