MEDICARE: JOHN J. WEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD00026557	WA
2	2084P0805X	Geriatric Psychiatry Physician	MD00026557	WA
3	2084P0804X	Child & Adolescent Psychiatry Physician	MD00026557	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336274943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN J. WEY MD

Provider Business Mailing Address
First Line	:	608 JADE PL
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98908-9767
Country	:	US
Telephone Number	:	509-731-7502
Fax Number	:

Provider Business Practice Location Address
First Line	:	1460 N 16TH AVE STE G
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98902-7102
Country	:	US
Telephone Number	:	509-575-7750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	04/04/2019

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