Provider Demographics
NPI:1326045766
Name:WEED, JOHN C JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:WEED
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2316 E MEYER BLVD
Mailing Address - Street 2:1 CANCER WEST
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1136
Mailing Address - Country:US
Mailing Address - Phone:816-276-4700
Mailing Address - Fax:816-276-3810
Practice Address - Street 1:2316 E MEYER BLVD
Practice Address - Street 2:1 CANCER WEST
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1136
Practice Address - Country:US
Practice Address - Phone:816-276-4700
Practice Address - Fax:816-276-3810
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR1H90207VX0201X
KS04-21402207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100124490DMedicaid
KS100124490EMedicaid
KS100124490FMedicaid
MO1326045766Medicaid
MO202246021Medicaid
C51324Medicare UPIN
KS100124490DMedicaid
S335696Medicare PIN
KS100124490FMedicaid
MO1326045766Medicaid
MO202246021Medicaid
KSKA1450001Medicare PIN