Basic Information
| Provider Information | |||||||||
| NPI: | 1962406702 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEBER | ||||||||
| FirstName: | ASMA | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 N 5TH AVE | ||||||||
| Address2: | STE 101 | ||||||||
| City: | SEQUIM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983823045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3605822690 | ||||||||
| FaxNumber: | 3605822691 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 N 5TH AVE | ||||||||
| Address2: | STE 101 | ||||||||
| City: | SEQUIM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983823045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3605822690 | ||||||||
| FaxNumber: | 3605822691 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD00040651 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0154786 | 01 | WA | WA LABOR & INDUSTRIES | OTHER | 2165851 | 01 | WA | UNITED HEALTHCARE | OTHER | 8930469 | 01 | WA | L& I CRIME VICTIMS | OTHER | 8917WE | 01 | WA | REGENCE BLUE CROSS | OTHER | 1115070 | 05 | WA | MEDICAID | 04358891798382A02 | 01 | WA | TRICARE WPS | OTHER | 0801801336 | 01 | WA | RAIL ROAD MEDICARE | OTHER | 9113918 | 01 | WA | CIGNA | OTHER | 04358891701 | 01 | WA | KITSAP PHYSICIAN SERVICES | OTHER | 5422713 | 01 | WA | AETNA US HEALTHCARE | OTHER |