Jason M. Weaver, MD, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JASON M. WEAVER, MD, PA

Practice address

1602 Rock Prairie Rd
Suite 3400
College Station, TX 77845-8306

Phone

(409) 939-1618

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason Michael Weaver, M.D.NPI 1801996517

Title

President

Phone

(979) 575-7435

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Michael Weaver, M.D.

  • Dermatology Physician
  • Bryan, TX
  • NPI 1801996517
  Medicare reassignment Care Compare group NPD Authorized official
• Andres Garcia II, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1992234769
  Medicare reassignment Care Compare group NPD
• Sarah Chapman, PA-C

  • Physician Assistant
  • Bryan, TX
  • NPI 1831907559
  Medicare reassignment Care Compare group
• Caitlin Sears, PA

  • Medical Physician Assistant
  • College Station, TX
  • NPI 1851735849
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1043363666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "SUITE 3400",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-575-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "SUITE 3400",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "409-939-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON M. WEAVER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-575-7435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamilia Blake
• Cynthia Jansky, MD
• Lisa Januskey, O.D.
• Andrew Jarosz, M.S., LAT, ATC, ITAT
• Jason M. Boley, MD., PLLC.
• Jay M Erickson DDS PLLC
• Elliott Abbott Jaye
• Ayesha Jeelani, DDS
• Haley Allison Jeffrey, PA
• Adam Connell Jenkins, M.D.

• Dermatology Physician in College Station, TX
• Providers in College Station, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.