Active NPI
Michelle Weaver, MD, PLLC
- Family Medicine Physician
- Warren, AR
National Provider Identifier
1184941015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MICHELLE WEAVER, MD, PLLC
- Practice address
- 219 E Central St
Warren, AR 71671-3405 - Phone
- (501) 812-7216
- NPI assigned
- May 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Weaver, MD
- Title
- Owner
- Phone
- (501) 812-7216
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Obstetrics & Gynecology Physician | 207V00000X | E-5904 | AR |
Addresses
Primary practice location
219 E Central St
Warren, AR 71671-3405
Mailing address
11001 Executive Center Dr
Suite 200
Little Rock, AR 72211-4316
Phone (501) 812-7800
National Provider Directory
National Provider DirectoryLocations
219 E Central St
Warren, AR 71671
Phone (870) 223-5873
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1003875501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272931200000",
"number": "1184941015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR",
"address_2": "SUITE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114316",
"telephone_number": "501-812-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 E CENTRAL ST",
"city": "WARREN",
"state": "AR",
"postal_code": "716713405",
"telephone_number": "501-812-7216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE WEAVER, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-03",
"last_updated": "2010-05-04",
"status": "A",
"authorized_official_last_name": "WEAVER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-812-7216",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "E-5904",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.