Jane M Weaver, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01049799A Issued in IN

Practice address

11141 Parkview Plaza Dr Ste 305
Fort Wayne, IN 46845-1715

Phone

(260) 484-9611

Fax

(260) 484-1004

NPI assigned

Aug 4, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ND

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lutheran Charity Association

  • Critical Access Hospital
  • Jamestown, ND
  • NPI 1548256753
  Medicare reassignment NPD
• Lutheran Charity Association

  • Emergency Medicine Physician
  • Jamestown, ND
  • NPI 1821044652
  Medicare reassignment NPD
• Lutheran Charity Association

  • Multi-Specialty Clinic/Center
  • Jamestown, ND
  • NPI 1073569794
  NPD
• Lutheran Charity Association

  • Diagnostic Radiology Physician
  • Jamestown, ND
  • NPI 1700038981
  NPD
• Associated Surgeons and Physicians, LLC

  • Foot & Ankle Surgery Podiatrist
  • Auburn, IN
  • NPI 1649720301
  NPD (past)
• Indiana Surgical Specialists, LLC

  • Surgery Physician
  • Fort Wayne, IN
  • NPI 1528044625
  NPD (past)
• Parkview Hospital, Inc.

  • Trauma Surgery Physician
  • Fort Wayne, IN
  • NPI 1669576997
  NPD (past)

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1316948920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11141 PARKVIEW PLAZA DR STE 305",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451715",
            "telephone_number": "260-484-9611",
            "fax_number": "260-484-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11141 PARKVIEW PLAZA DR STE 305",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451715",
            "telephone_number": "260-484-9611",
            "fax_number": "260-484-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JANE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01049799A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200196440",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020041807",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107455",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104435211",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Weatherford
• Emily Kathryn Weatherhead
• Andrew Brion Weatherington, CRNA
• Amy Weaver, NP
• Hazel Weaver, RBT
• Jean M Weaver, M.D.
• Letisia J Weaver, LPN
• Sarah Weaver
• Shawn Weaver
• Stephen Paul Weaver

• Surgery Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.