Jennifer Weatherly D.O.P.a.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

JENNIFER WEATHERLY D.O.P.A.

Practice address

3250 W Pleasant Run Rd Ste 160
Lancaster, TX 75146-1071

Phone

(972) 274-5200

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Weatherly, D.O.

Title

Physician

Phone

(972) 274-5200

Specialties & licenses 1

Addresses

Tax ID family

Jennifer Weatherly DO PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jennifer Weatherly, D.O., P.a.

  • Family Medicine Physician
  • Lancaster, TX
  • NPI 1184909566
  NPD tax ID

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1588115455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W PLEASANT RUN RD STE 160",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461071",
            "telephone_number": "972-274-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W PLEASANT RUN RD STE 160",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461071",
            "telephone_number": "972-274-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER WEATHERLY D.O.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "WEATHERLY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-274-5200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquelle Jackson
• Unaleshia Jackson, LPC
• Ebone Jahi-Coley
• Latasha James, SLP-A
• Jay Davis Enterprise LLC (Jimmie Davis)
• Jennifer Weatherly, D.O. P.a
• Jennifer Weatherly, D.O., P.a.
• Frederica Johnson
• Geninice Johnson, BA, LCDC-I
• George Mitchel Johnson

• Medical Physician Assistant in Lancaster, TX
• Providers in Lancaster, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.