Individual provider Active NPI

Michelle Cathey Weaver, MD

  • Family Medicine Physician
  • Warren, AR
National Provider Identifier
1265624621
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-5904 Issued in AR
Practice address
613A Highway 278 W
Warren, AR 71671-9185
Phone
(870) 820-2313
NPI assigned
Aug 9, 2007
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-5904 AR
Family Medicine Physician 207Q00000X E-5904 AR Primary

Addresses

Primary practice location

613A Highway 278 W
Warren, AR 71671-9185

Mailing address

613A Highway 278 W
Warren, AR 71671-9185
Phone (870) 820-2313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000022 AR Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 8426114257 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Bradley County Medical CenterGroup PAC ID 2961316112, shared by 7 NPIs, 15 clinicians
Ouachita County Medical CenterGroup PAC ID 4587641055, 29 clinicians

Practice addresses (Care Compare)

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 321-1000

404 S Bradley St
Warren, AR 71671-3459
Phone (870) 226-3731

638 California Ave SW
Camden, AR 71701-4604
Phone (870) 836-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Sep 30, 2020 Accepting new patients
Bradley County Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Bradley County Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Ouachita County Medical Center CurrentSince Feb 1, 2023 Accepting new patients
HCC of Warren Hospitalist LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Ouachita County Medical Center Current Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jun 17, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Sep 30, 2020 Accepting new patients
Ouachita County Medical Center CurrentSince Feb 1, 2023 Accepting new patients
Ess of Fordyce LLC Emergency Medicine CurrentSince Nov 23, 2024 Accepting new patients
Bradley County Medical Center CurrentSince Sep 1, 2025 Accepting new patients
HCC of Warren LLC CurrentSince Jan 1, 2021 Accepting new patients
Bradley County Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Chicot Memorial Hospital Past Accepting new patients
Bradley County Medical Center Past Accepting new patients
McGehee Desha County Hospital Past Accepting new patients

Locations

638 California Ave SW
East Camden, AR 71701
Phone (870) 836-1000

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

304 E Central St
Warren, AR 71671
Phone (870) 226-8636

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/bradley-49d5c27e

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1265624621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613A HIGHWAY 278 W",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716719185",
            "telephone_number": "870-820-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613A HIGHWAY 278 W",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716719185",
            "telephone_number": "870-820-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MICHELLE",
        "middle_name": "CATHEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-5904",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-5904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

Verify at the official NPI Registry.