Individual
JONATHAN W WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4123 DUTCHMANS LN, SUITE 515, LOUISVILLE, KY 40207-4707
(502) 899-6907
(502) 899-6905
Mailing address
8081 TOWNSHIP LINE RD STE 203, INDIANAPOLIS, IN 46260-2189
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
01064626A
IN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
29866
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000566263
ANTHEM FOUNDATION
KY
01
—
000000652640
ANTHEM PSC LOCATION
KY
05
—
100333880
—
IN
01
—
50018907
PASSPORT PCP# FOR FOUNDATION LOCATION
KY
01
—
50018908
PASSPORT SPECIALTY# FOR FOUNDATION LOCATION
KY
01
—
50018910
PASSPORT SPECIALTY # FOR PSC LOCATION
KY
05
—
64298664
—
KY
Enumeration date
04/21/2006
Last updated
05/07/2024
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