Active NPI
John Joseph Weaver, MD
- Diagnostic Radiology Physician
- Ketchikan, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 219179
- Practice address
- 3100 Tongass Ave
Ketchikan, AK 99901-5746 - Phone
- (907) 228-4644
- Fax
- (907) 228-8337
- NPI assigned
- Apr 3, 2018
- Last updated
- May 30, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 219179 | AK | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD61549873 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3100 Tongass Ave
Ketchikan, AK 99901-5746
Mailing address
4N199 Fox Mill Blvd
Saint Charles, IL 60175-7770
Phone (630) 479-9503
Other practice location 1
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 665-6730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peacehealth
Practice addresses (Care Compare)
2930 Squalicum Pkwy
Suite 101
Bellingham, WA 98225-1854
Phone (360) 733-0430
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (360) 733-0430
Hospital & facility affiliations
- Peacehealth St Joseph Medical Center
- Peacehealth United General Medical Center
- Peacehealth Peace Island Medical Center
- Peacehealth Ketchikan Medical Center
- Skagit Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 85.63
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 62 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 10
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.12 of 100
- Quality
- 81.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 40.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61549873 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Radiologists Inc PS | Diagnostic Radiology | Current | Accepting new patients |
| Mt. Baker Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Diagnostic Radiology | Current | Accepting new patients |
Locations
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400
2930 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Phone (360) 733-0890
2930 Squalicum Pkwy
Ste 201
Bellingham, WA 98225
Phone (360) 733-3177
4029 Northwest Ave
Ste 201
Bellingham, WA 98226
Organizations & group practices 4
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 Ketchikan Medical Center
- Diagnostic Radiology Physician
- Ketchikan, AK
- NPI 1801965736
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PeaceHealth United General Medical Center
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
-
dba Peacehealth Peace Island Medical Center
- Critical Access Hospital
- Friday Harbor, WA
- NPI 1487917233
-
dba Skagit Valley Hospital
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
dba Northwest Regional Laboratory
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1013137173
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1164928685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4N199 FOX MILL BLVD",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601757770",
"telephone_number": "630-479-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 TONGASS AVE",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015746",
"telephone_number": "907-228-4644",
"fax_number": "907-228-8337"
}
],
"practiceLocations": [
{
"address_1": "2900 N Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606575640",
"country_code": "US",
"telephone_number": "773-665-6730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEAVER",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-03",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AK",
"license": "219179",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD61549873",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.