Jordan Weaver, M.D.,PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MC-2756 Issued in AR

Legal business name

JORDAN WEAVER, M.D.,PLLC

Practice address

1995 Harrison St
Batesville, AR 72501-7309

Phone

(870) 793-2540

NPI assigned

May 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael J Weaver, MD

Title

President

Phone

(870) 793-2540

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1033437538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017309",
            "telephone_number": "870-793-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017309",
            "telephone_number": "870-793-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN WEAVER, M.D.,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-793-2540",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "MC-2756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Jones
• Edward J Jones, M.D. P.A.
• Karen Sibley Jones, PHARM.D.
• Kelly Eileen Jones, MHPP
• Danica Brook Joplin, APRN
• Aubrey Shannon Joseph, M.D.
• Gregory Justice
• Jordan Brooke Kallsnick
• Doreen Mpirirwe Kamoga, MD
• Candy Keefer

• Family Medicine Physician in Batesville, AR
• Providers in Batesville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.