Individual provider Active NPI

Arthur Weaver, D.O.

  • General Practice Physician
  • Omaha, NE
National Provider Identifier
1285723643
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17638 Issued in NE
Practice address
5310 S 84TH St
Omaha, NE 68127-3775
Phone
(402) 827-6510
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17638 NE Primary

Addresses

Primary practice location

5310 S 84TH St
Omaha, NE 68127-3775

Mailing address

5310 S 84TH St
Omaha, NE 68127-3775
Phone (402) 827-6510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100903000927 NE Practitioner - General Practice 3375434152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Michigan State University College of Human Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VWB LLC 9 clinicians

Practice addresses (Care Compare)

4004 N 132ND St
101 Afc Urgent Care
Omaha, NE 68164-1803
Phone (402) 302-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17638NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
VWB LLC CurrentSince Jul 15, 2020 Accepting new patients
Midwest Minor Medical PC CurrentSince Oct 23, 2019 Accepting new patients

Locations

4004 N 132nd St
Ste 101
Omaha, NE 68164
Phone (402) 302-2273

14104 S St
Omaha, NE 68137
Phone (402) 827-6710

Interoperability endpoints

  • Direct secure messaging: arthur.weaver.1@23757.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285723643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681273775",
            "telephone_number": "402-827-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681273775",
            "telephone_number": "402-827-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ARTHUR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "17638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.