Active NPI
Wayne M Weaver, M.D.
- Emergency Medicine Physician
- Millersburg, OH
National Provider Identifier
1043421498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 057970
- Practice address
- 981 Wooster Rd
Millersburg, OH 44654-1536 - Phone
- (330) 674-1015
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 057970 | OH | Primary |
Addresses
Primary practice location
981 Wooster Rd
Millersburg, OH 44654-1536
Mailing address
8070 Township Road 574
Holmesville, OH 44633
Phone (330) 674-3247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057970 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba PHS Fort Defiance Indian Hospital
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229904000000",
"number": "1043421498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8070 TOWNSHIP ROAD 574",
"city": "HOLMESVILLE",
"state": "OH",
"postal_code": "44633",
"telephone_number": "330-674-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981 WOOSTER RD",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446541536",
"telephone_number": "330-674-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "WAYNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2008-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "057970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersburg, OH
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- Bradley Dale Walker, DC
- Claudia Jo Ward, RPH
- Ashley R Watts, LDO
- Terri E Weiland, PA-C
- Branden Lloyd Weisgarber, PHD, CRNP
- Bradley Welsh, DDS
- West Holmes Local Schools
- Angela Marie Willard, MA CCC/SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.