National Provider Identifier
Jeremy Weller, PA-C
Jeremy Weller, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 274-3011.
Profile Overview
- NPI
- 1497571590
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 23, 2024
- Last Updated
- March 25, 2025
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7000
Phone: (607) 274-3011
Mailing Address
- 953 Danby RD
- Ithaca, NY 14850-7002
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1497571590
- Entity Type
- Individual
- Last Name
- Weller
- First Name
- Jeremy
- Credential
- PA-C
- Mailing Street Address
- 953 Danby RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-7002
- Mailing Country
- US
- Mailing Phone
- (607) 274-3011
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7000
- Practice Country
- US
- Practice Phone
- (607) 274-3011
- Enumeration Date
- November 23, 2024
- Last Updated
- March 25, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 25, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)