Mark Edwin Weaver, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35.050156 Issued in OH

Practice address

158 Wetherby LN
Westerville, OH 43081-4957

Phone

(800) 917-9085

NPI assigned

Nov 4, 2011

Last updated

Nov 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ohio Myofascial Specialists, Inc.

  • Clinic/Center
  • Westerville, OH
  • NPI 1770860702
  NPD (past) Authorized official

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1154608180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21930",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432210930",
            "telephone_number": "800-917-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 WETHERBY LN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814957",
            "telephone_number": "800-917-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MARK",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.050156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Watson, PA-C
• Emily Watts, MSW, LSW
• Brian Christopher Weaver, D.D.S.
• David H Weaver, PHD
• Heather Ann Weaver, CNP
• Amanda Antico Webb, QMHS-MA (RBT)
• Diana Webb, LISW
• Sandra Nicole Webb, PHARM D
• Sara Webb
• Belinda C Webber, REGISTERED NURSE

• General Practice Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.