Individual provider Active NPI

Matthew D. Weaver, M.D.

  • Family Medicine Physician
  • Wiscasset, ME
National Provider Identifier
1447417472
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD19169 Issued in ME
Practice address
35 Water St
Wiscasset, ME 04578-4134
Phone
(207) 882-6008
Fax
(207) 882-7803
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD19169 ME Primary

Addresses

Primary practice location

35 Water St
Wiscasset, ME 04578-4134

Mailing address

PO Box 351
Wiscasset, ME 04578-0351
Phone (207) 882-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20120604000358 ME Practitioner - Family Practice 3476602277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiscasset Family HealthGroup PAC ID 3476820184, 7 clinicians

Practice addresses (Care Compare)

35 Water St
PO Box 351
Wiscasset, ME 04578-4134
Phone (207) 882-6008

Hospital & facility affiliations

  • Lincolnhealth Hospital, Damariscotta, ME, CCN 201302
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021
  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19169MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wiscasset Family Health Family Medicine CurrentSince Oct 17, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mweaver11936@direct.mmc.mainehealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1447417472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045780351",
            "telephone_number": "207-882-6008",
            "fax_number": "207-882-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WATER ST",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784134",
            "telephone_number": "207-882-6008",
            "fax_number": "207-882-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MATTHEW",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD19169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiscasset, ME

Sources for this page

Verify at the official NPI Registry.