Provider Demographics
NPI:1134100308
Name:WEEMAN, JOHN M (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:WEEMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:546 WINTER ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2300
Mailing Address - Country:US
Mailing Address - Phone:330-345-2229
Mailing Address - Fax:330-345-2236
Practice Address - Street 1:546 WINTER ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2300
Practice Address - Country:US
Practice Address - Phone:330-345-2229
Practice Address - Fax:330-345-2236
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2024-10-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35060382207V00000X
NH33730207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0701755OtherUNITED HEALTHCARE
OH4374358OtherAETNA PPO
OH0911928Medicaid
OH5599810OtherCIGNA
OH141935OtherHEALTHAMERICA
OH311537968029OtherCARESOURCE ID
OH000000121557OtherANTHEM BC/BS
OH733577OtherBUCKEYE ID
OH2082247OtherAETNA HMO
OH35060382WOtherUNICARE
OH141935OtherHEALTHAMERICA
OH733577OtherBUCKEYE ID
OH4374358OtherAETNA PPO