Provider Demographics
NPI:1538475777
Name:DANIEL D. WEED, M.D., P.C.
Entity Type:Organization
Organization Name:DANIEL D. WEED, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:WEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-468-8632
Mailing Address - Street 1:9411 N OAK TRFY
Mailing Address - Street 2:240
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-2233
Mailing Address - Country:US
Mailing Address - Phone:816-468-8632
Mailing Address - Fax:816-468-7722
Practice Address - Street 1:9411 N OAK TRFY
Practice Address - Street 2:240
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-2233
Practice Address - Country:US
Practice Address - Phone:816-468-8632
Practice Address - Fax:816-468-7722
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DANIEL D. WEED, M.D.,P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR6G15261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOC23279Medicare UPIN