Mark E Weaver, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO00001857 Issued in FL

Practice address

1645 Colonial Blvd
Fort Myers, FL 33907-1101

Phone

(239) 278-4448

Fax

(239) 939-1286

NPI assigned

Oct 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://osswf.mmi.prod.fhir.ema-api.com/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/JHFHBA

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.

• Florida Foot and Ankle Physicians PA

  • Primary Podiatric Medicine Podiatrist
  • Cape Coral, FL
  • NPI 1770598617
  NPD (past)
• Orthopedic Specialists of SW Florida, P.a.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1720187495
  NPD (past)
• Orthopedic Specialists of SW Florida, P.a.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1770410433
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1295722080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071101",
            "telephone_number": "239-278-4448",
            "fax_number": "239-939-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071101",
            "telephone_number": "239-278-4448",
            "fax_number": "239-939-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO00001857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Isaacson MD
• We Thrive MD
• Crystal Weaks, PA-C
• Jasmine C Weaver
• Linda Ann Weaver, MA, CMHC
• Alexander Ross Webb, MD
• Marshall Joseph Webb, D.C.
• Webb'S Fort Myers Prescription Shop, Inc.
• Catherine M Weber, PA-C
• Cathylee Weber, LCSW

• Podiatrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.