Active NPI
Jeffrey Donovan Weaver, M.D.
- Emergency Medicine Physician
- Lexington, KY
National Provider Identifier
1083660930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 40475
- Practice address
- 1 Saint Joseph Dr
Lexington, KY 40504-3742 - Phone
- (859) 313-1000
- NPI assigned
- May 25, 2006
- 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 | 40475 | KY | Primary |
Addresses
Primary practice location
1 Saint Joseph Dr
Lexington, KY 40504-3742
Mailing address
255 S Ashland Ave
Lexington, KY 40502-1727
Phone (859) 312-2029
Other practice location 1
800 Rose St
Room M53
Lexington, KY 40536-0298
Phone (859) 323-5908
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64109937 | Medicaid | KY | |
| P00329507 | Other | KY | RRGA |
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 |
|---|---|---|---|
| 40475 | KY | MD | Emergency Medicine Physician |
| TP515 | KY | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keightley & Parsley P S C | Emergency Medicine | 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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1386670503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083660930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 S ASHLAND AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405021727",
"telephone_number": "859-312-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT JOSEPH DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043742",
"telephone_number": "859-313-1000"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St",
"address_2": "Room M53",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360298",
"country_code": "US",
"telephone_number": "859-323-5908",
"fax_number": "859-323-8056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEAVER",
"first_name": "JEFFREY",
"middle_name": "DONOVAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "40475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64109937",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRGA",
"identifier": "P00329507",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.