Organization Active NPI

Terry Weaver PLLC

  • Family Medicine Physician
  • Fayetteville, AR
National Provider Identifier
1255630133
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3438 Issued in AR
Legal business name
TERRY WEAVER PLLC
Practice address
153 E Monte Painter Dr
Healthsouth Rehabilitation Hospital
Fayetteville, AR 72703
Phone
(479) 444-2200
Fax
(479) 444-2279
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Terry Weaver
Title
Doctor Owner
Phone
(479) 879-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E3438 AR Primary

Addresses

Primary practice location

153 E Monte Painter Dr
Healthsouth Rehabilitation Hospital
Fayetteville, AR 72703

Mailing address

2630 E Citizens Dr
Fayetteville, AR 72703-4797
Phone (479) 527-9966

National Provider Directory

National Provider Directory

Locations

2630 E Citizens Dr
Fayetteville, AR 72703
Phone (479) 251-8000

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1255630133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 E CITIZENS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034797",
            "telephone_number": "479-527-9966",
            "fax_number": "479-527-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E MONTE PAINTER DR",
            "address_2": "HEALTHSOUTH REHABILITATION HOSPITAL",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-444-2200",
            "fax_number": "479-444-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY WEAVER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "479-879-0888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.