Terry Dean Weaver, MD
Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Wessington Springs, SD
NPI 1528063997 · NPPES record last updated Mar 10, 2020
Key facts
- NPI
- 1528063997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- E-3438 (AR)
- Practice address
- 602 1St St NE Ste 1
Wessington Springs, SD 57382-2163 - Phone
- (605) 539-1778
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 30
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Horizon Health Care Inc
Practice addresses (Care Compare)
602 1St St NE
Wessington Springs, SD 57382-2163
Phone (605) 539-1778
Hospital & facility affiliations
- Avera @ Home
- Avera @ Home
- Avera Weskota Memorial Medical Center - Cah
- Avera Queen of Peace
- Avera McKennan Hospital & University Health Center
- Huron Regional Medical Center
- Weskota Manor Inc
- Avera Weskota Memorial Medical Center - Cah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040421001586 | AR | Practitioner - Family Practice |
2264428655 | Reassigns benefits to 2 organizations |
| I20200323002178 | SD | Practitioner - Family Practice | 2264428655 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-3438 | AR | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Kentucky Inc | Current |
Accepting new patients | |
| Avera Queen of Peace | Current | Accepting new patients | |
| Horizon Health Care Inc | Current |
Accepting new patients | |
| Avera Queen of Peace | Current |
Accepting new patients | |
| St. Bernards Hospital Inc | Geriatric Medicine | Current |
Accepting new patients |
| Avera Queen of Peace | Current | Accepting new patients | |
| Avera Queen of Peace | Current |
Accepting new patients | |
| Horizon Health Care Inc | Current | Accepting new patients | |
| Garner Family Medical Clinic, Inc | Past | Accepting new patients | |
| Horizon Health Care Inc | Past | Accepting new patients |
Locations
303 E Matthews Ave
Ste 202
Jonesboro, AR 72401
Phone (870) 207-7555
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
2712 E Johnson Ave
#3393
Jonesboro, AR 72405
Phone (870) 932-2800
130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | E-3438 | AR | Yes |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | E-3438 | AR |
Addresses
Primary practice location
602 1St St NE Ste 1
Wessington Springs, SD 57382-2163
Mailing address
602 1St St NE Ste 1
Wessington Springs, SD 57382-2163
Phone (605) 539-1778
Other practice location 1
314 N 3rd Ave
Clayton, NM 88415
Phone (575) 374-2273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2018-0286 | Other | NM | NMMB LICENSE |
Other providers in Wessington Springs, SD
- Rikki Ohlrogge
- Rex Enterprises
- Joseph Francis Rex
- Sanford Health Network
- Katie A Stearns
- Weskota Manor, Inc.
All providers in Wessington Springs, SD · Geriatric Medicine (Family Medicine) Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.