Provider Demographics
NPI:1891763892
Name:WEBER, SETH IAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:IAN
Last Name:WEBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL DR STE 306
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9350
Mailing Address - Country:US
Mailing Address - Phone:570-522-4110
Mailing Address - Fax:570-768-3911
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9350
Practice Address - Country:US
Practice Address - Phone:570-522-4260
Practice Address - Fax:570-522-4155
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049363L207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA732804OtherHIGHMARK BLUE SHIELD
PA0014147370007Medicaid
PA3046359OtherAETNA
PA2248240OtherUNITEDHEALTHCARE
PA817859OtherFIRST PRIORITY HEALTH
PAD73897OtherHEALTHAMERICA
PA0014147370007Medicaid
PA732804OtherHIGHMARK BLUE SHIELD
PA2248240OtherUNITEDHEALTHCARE