Individual provider Active NPI

Rachel Weaver, M.D

  • Obstetrics & Gynecology Physician
  • Mentor, OH
National Provider Identifier
1073923967
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.133087 Issued in OH
Practice address
8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251
Phone
(440) 357-7100
Fax
(440) 357-8136
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.133087 OH Primary

Addresses

Primary practice location

8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251

Mailing address

8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251
Phone (440) 357-7100

Other practice location 1

9500 Mentor Ave Ste 220
Mentor, OH 44060-8714
Phone (440) 357-7100 ext. 104

Other identifiers 2

IdentifierTypeStateIssuer
284753MedicaidOH
0890175MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rachel.weaver@log.eclinicaldiretplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814003685 OH Practitioner - Obstetrics/Gynecology 1153670831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Obstetrics and Gynecology, IncGroup PAC ID 5799794350, 6 clinicians

Practice addresses (Care Compare)

9500 Mentor Ave
Suite 220
Mentor, OH 44060-8714
Phone (440) 357-7100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.133087OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc CurrentSince Sep 1, 2018 Accepting new patients
Lake Hospital System, Inc CurrentSince Sep 1, 2018 Accepting new patients
Lake Obstetrics and Gynecology, Inc Obstetrics & Gynecology CurrentSince Sep 1, 2018 Accepting new patients
Lake Hospital System Inc Obstetrics & Gynecology Current Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients

Locations

7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899

9500 Mentor Ave
Ste 220
Mentor, OH 44060
Phone (440) 357-7100

8300 Tyler Blvd
Ste 300
Mentor, OH 44060
Phone (440) 205-1529

Interoperability endpoints

  • Direct secure messaging: rachel.weaver@log.eclinicaldiretplus.com
  • Direct secure messaging: rweaver220097@ehrdirect.uhhospitals.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1073923967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 TYLER BLVD STE 300",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604251",
            "telephone_number": "440-357-7100",
            "fax_number": "440-357-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 TYLER BLVD STE 300",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604251",
            "telephone_number": "440-357-7100",
            "fax_number": "440-357-8136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Mentor Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440608714",
            "country_code": "US",
            "telephone_number": "440-357-7100 x104",
            "fax_number": "440-357-8136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "RACHEL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.133087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284753",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0890175",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rachel.weaver@log.eclinicaldiretplus.com",
            "affiliation": "N",
            "endpointDescription": "eclinical direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "9500 Mentor Ave Ste 220",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440608714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.