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GAVIN WEBER DO
NPI 1255133674
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since March 26, 2025PECOS Enrolled
5109 W BROAD ST, COLUMBUS, OH 43228(614) 554-1976 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gavin Weber Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAVIN WEBER DO (NPI 1255133674) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255133674
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGAVIN WEBERCredential: DO
Location Address5109 W BROAD STColumbus, OH 43228-1648
Mailing Address5109 W Broad StColumbus, OH 43228-1648 · (614) 554-1976
Phone(614) 554-1976
Sole ProprietorNo
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1255133674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5109 W BROAD ST, Columbus, OH 43228
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gavin Weber Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULO S NUNES DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DR. TREVOR DEW DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DUVEEN NALAMOTHU DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
ANASTASIA COLLIER
Social Worker (Clinical)
5109 W BROAD ST, 104
COLUMBUS, OH 43228
Franklin County (614) 279-7690
MEGAN FLESHMAN
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
ASHLEY GERARD DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DR. BRADLEY CHRISTOPHER KRUITHOFF DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DR. GRACE BERRY DO
Student in an Organized Health Care Education/Training Program
5109 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gavin Weber's NPI number?

The NPI number for Gavin Weber is 1255133674. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Gavin Weber located?

Gavin Weber practices at 5109 W Broad St, Columbus, OH 43228. The listed phone number is (614) 554-1976.

What is Gavin Weber's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gavin Weber enrolled in Medicare?

Yes. Gavin Weber is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gavin Weber was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.