Provider Demographics
NPI:1760402093
Name:WESTON, STEVEN ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ARTHUR
Last Name:WESTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:STEVE
Other - Middle Name:A
Other - Last Name:WESTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2540 W ARROWOOD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-6197
Mailing Address - Country:US
Mailing Address - Phone:980-297-7400
Mailing Address - Fax:980-297-7403
Practice Address - Street 1:2540 W ARROWOOD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-6197
Practice Address - Country:US
Practice Address - Phone:980-297-7400
Practice Address - Fax:980-297-7403
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34201208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8986693Medicaid
NC86693OtherBCBSNC
NC2160933AMedicare PIN
NCE91122Medicare UPIN