Individual provider Active NPI

Evan Weiner, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Danville, PA
National Provider Identifier
1396763439
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
MD431428 Issued in PA
Practice address
100 N Academy Ave
Danville, PA 17822-4903
Phone
(570) 271-6812
Fax
(570) 271-6507
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X MD431428 PA Primary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 35C.004387 OH

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822-4903

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6812

Other practice location 1

3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-3400

Other practice location 2

1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, LA, NJ, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080417000554 PA Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 3971552910 Reassigns benefits to 3 organizations
I20220217000089 LA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 3971552910 Reassigns benefits to 1 organization
I20220321001026 NJ Practitioner - Pediatric Medicine 3971552910 Reassigns benefits to 1 organization
I20230302002746 FL Practitioner - Emergency Medicine 3971552910 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Emergency Physicians Inc CurrentSince Jan 11, 2023 Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Dec 1, 2019 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Emergency Physicians Inc CurrentSince Jan 11, 2023 Accepting new patients
Geisinger-HM Joint Venture LLC Pediatrics CurrentSince Sep 15, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 15, 2025 Accepting new patients
Children'S Hospital CurrentSince Dec 8, 2021 Accepting new patients
STC Pediatrics LLC Pediatric Emergency Medicine Current Accepting new patients
Children'S Hospital Pediatric Emergency Medicine CurrentSince Dec 8, 2021 Accepting new patients
Geisinger Clinic Pediatrics CurrentSince Sep 15, 2025 Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Dec 1, 2019 Accepting new patients
Geisinger Clinic CurrentSince Sep 15, 2025 Accepting new patients
PM Pediatrics of Delaware PA Pediatrics Past Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
PM Pediatrics PC Pediatrics Past Accepting new patients
PM Pediatrics of Bayside PLLC Pediatric Emergency Medicine Past Accepting new patients

Locations

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

Interoperability endpoints

  • Direct secure messaging: eweiner120249@direct.cooperhealth.edu

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1396763439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6812",
            "fax_number": "570-271-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6812",
            "fax_number": "570-271-6507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 W Tech Rd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453420955",
            "country_code": "US",
            "telephone_number": "937-641-3400",
            "fax_number": "937-641-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041815",
            "country_code": "US",
            "telephone_number": "937-641-3600",
            "fax_number": "937-641-5802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINER",
        "first_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "PA",
            "license": "MD431428",
            "primary": true
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "OH",
            "license": "35C.004387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.