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DR. WILLIAM JACOB WELLER M.D. NPI 1013278084


NPI Information

NPI: 1013278084
Provider Name: DR. WILLIAM JACOB WELLER, M.D.
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Individual

Specialization: Hand Surgery

Organization: CAMPBELL CLINIC PC

PECOS Registration: Yes

CLIA Number: 44D0695817

Address:
7545 AIRWAYS BLVD
SOUTHAVEN, MS
ZIP 38671
Phone: (901) 759-3100
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DR. William Jacob Weller, M.D. is a hand surgery orthopaedic surgery in Southaven, MS with 12 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. William Jacob Weller, M.D. NPI is 1013278084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2012

The provider's business location address is:

7545 AIRWAYS BLVD
SOUTHAVEN, MS
ZIP 38671-806
Phone: (901) 759-3100

The NPI 1013278084 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 44D0695817 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 11/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery57285TENNESSEENo
2207XS0106XOrthopaedic SurgeryHand Surgery57285TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.