Active NPI
Elizabeth M Weaver, M.D., P.L.C.
- Family Medicine Physician
- Herndon, VA
National Provider Identifier
1336511971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101232754
- Legal business name
- ELIZABETH M WEAVER, M.D., P.L.C.
- Practice address
- 1031 Sterling Rd
Suite 203
Herndon, VA 20170-3865 - Phone
- (703) 466-5150
- Fax
- (703) 649-3557
- NPI assigned
- Oct 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Mary Weaver, M.D.
- Title
- Owner
- Phone
- (703) 466-5150
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101232754 | VA | Primary |
Addresses
Primary practice location
1031 Sterling Rd
Suite 203
Herndon, VA 20170-3865
Mailing address
1031 Sterling Rd
Suite 203
Herndon, VA 20170-3865
Phone (703) 466-5150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
209 Elden St
Ste 209
Herndon, VA 20170
Phone (703) 435-2574
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445472000000",
"number": "1336511971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 STERLING RD",
"address_2": "SUITE 203",
"city": "HERNDON",
"state": "VA",
"postal_code": "201703865",
"telephone_number": "703-466-5150",
"fax_number": "703-649-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 STERLING RD",
"address_2": "SUITE 203",
"city": "HERNDON",
"state": "VA",
"postal_code": "201703865",
"telephone_number": "703-466-5150",
"fax_number": "703-649-3557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETH M WEAVER, M.D., P.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-22",
"last_updated": "2015-10-22",
"status": "A",
"authorized_official_last_name": "WEAVER",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-466-5150",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": "0101232754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.