Samuel David Weller Family Practice
55 Park Ave, London, OH 43140-1170


Samuel David Weller is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1750324281. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 8527083682. The medical credential is MD. The primary specialty is FAMILY PRACTICE. The organization is MOUNT CARMEL - OSU PHYSICIAN ALLIANCE LLC. The address is 55 Park Ave, London, OH 43140-1170. The zip code is 43140.


Samuel David Weller · 55 Park Ave, London, OH 43140-1170

Nation Provider ID 1750324281
PAC ID by PECOS 8527083682
Professional Enrollment ID I20051007000900
Last Name WELLER
First Name SAMUEL
Middle Name DAVID
Gender M
Credential MD
Medical School Name OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1998
Primary Specialty FAMILY PRACTICE
Primary Specialty MOUNT CARMEL - OSU PHYSICIAN ALLIANCE LLC
Phone Number 7408457500
Group Practice PAC ID 2860617891
Number of Group Practice Members 9
Address 55 PARK AVE
LONDON, OH 431401170
Claims Based Hospital Affiliation Claim Control Number (CCN): 360189
Legal Business Name: MADISON COUNTY HOSPITAL INC
Claims Based Hospital Affiliation Claim Control Number (CCN): 360035
Legal Business Name: MOUNT CARMEL WEST
Claims Based Hospital Affiliation Claim Control Number (CCN): 360086
Legal Business Name: SPRINGFIELD REGIONAL MEDICAL CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Mount Carmel - Osu Physician Alliance LLC · Medicare Physician

Name Address Specialty
Beverly Clensey 55 Park Ave, London, OH 43140-1170 NURSE PRACTITIONER
Michelle Khoury 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Jennifer Crutchfield Hatton 55 Park Ave, London, OH 43140-1170 NURSE PRACTITIONER
Amanda Williams 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Hari Perali 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Zainab Al-obosi 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Sarah Clawson 55 Park Ave, London, OH 43140-1170 NURSE PRACTITIONER
Gary Erdy 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE

Zip 43140 · Family Practice · Medicare Physician

Name Address Specialty
Katherine Binns 1076 Eagleton Plaza Dr, London, OH 43140-9195 FAMILY PRACTICE
Ramalingam Selvarajah 194 Elm St, London, OH 43140-1161 FAMILY PRACTICE
Gary Erdy 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Hari Perali 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Amanda Williams 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Michelle Khoury 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
James Kaehr 214 Elm St, London, OH 43140-2131 FAMILY PRACTICE
Zainab Al-obosi 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Steven Richardson 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE

Zip 43140 · Medicare Physician

Name Address Specialty
Katherine Binns 1076 Eagleton Plaza Dr, London, OH 43140-9195 FAMILY PRACTICE
Krystal Foley 54 W High St, London, OH 43140-1115 PHYSICIAN ASSISTANT
Sarah Clawson 55 Park Ave, London, OH 43140-1170 NURSE PRACTITIONER
William Emlich 210 N Main St, London, OH 43140-1115 GASTROENTEROLOGY
Howard Jordan 16 S Main St, London, OH 43140-1211 OPTOMETRY
Stephen Olson 210 N Main St, London, OH 43140-1115 ORTHOPEDIC SURGERY
Beverly Clensey 55 Park Ave, London, OH 43140-1170 NURSE PRACTITIONER
Joshua Glupker 54 W High St, London, OH 43140-1115 GENERAL SURGERY
Amanda Williams 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Gina Moody 214 Elm St, London, OH 43140-2131 PULMONARY DISEASE
Michelle Khoury 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Philip Cain 117 N High St, London, OH 43140-1300 PODIATRY
Mark Coate 214 Elm St, London, OH 43140-2128 GENERAL SURGERY
Gary Erdy 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Steven Richardson 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Lori Knight 55 Park Ave, London, OH 43140-1170 NURSE PRACTITIONER
Anterpreet Neki 54 W High St, London, OH 43140-1115 HEMATOLOGY/ONCOLOGY
Zainab Al-obosi 55 Park Ave, London, OH 43140-1170 FAMILY PRACTICE
Vaughn Darding 1375 Us Hwy 42 Se, London, OH 43140-9548 CHIROPRACTIC
Douglas Closser 214 Elm St, London, OH 43140-2131 INTERNAL MEDICINE