Active NPI
Tony Lee Weaver, DO
- Plastic and Reconstructive Surgery Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 1352
- Practice address
- 401 Lowell Dr SE Ste 12
Huntsville, AL 35801-3738 - Phone
- (256) 265-6851
- Fax
- (256) 265-6869
- NPI assigned
- Jun 16, 2011
- Last updated
- Oct 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DO.1352 | AL | |
| Surgery Physician | 208600000X | UO2701 | FL | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 1352 | AL | Primary |
Addresses
Primary practice location
401 Lowell Dr SE Ste 12
Huntsville, AL 35801-3738
Mailing address
PO Box 2705
Huntsville, AL 35804-2705
Phone (256) 265-6851
Other practice location 1
1041 Balch Rd Ste 350
Madison, AL 35758-8822
Phone (256) 265-6851
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233999 | Medicaid | AL | |
| 232839 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 Lowell Dr SE
Suite 12
Huntsville, AL 35801-3738
Phone (256) 265-6851
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 11 |
| Melanoma (skin cancer) excision | 32 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1352 | AL | MD | Clinical Psychologist |
| DO.1352 | AL | MD | Surgery Physician |
| UO2701 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pickens County Health Care Authority | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| HH Physicians Network | Plastic and Reconstructive Surgery | Current | Accepting new patients |
Locations
241 Robert K Wilson Dr
Carrollton, AL 35447
Phone (205) 367-2408
401 Lowell Dr SE
Ste 12
Huntsville, AL 35801
Phone (256) 265-6851
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951
8371 Highway 72 W
Ste 104
Madison, AL 35758
Phone (256) 265-5640
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
dba American Family Care
- Primary Care Clinic/Center
- Mobile, AL
- NPI 1629346960
-
dba Senior Care Clinic
- Clinical Psychologist
- Carrollton, AL
- NPI 1225382898
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1609161843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2705",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358042705",
"telephone_number": "256-265-6851",
"fax_number": "256-265-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 LOWELL DR SE STE 12",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013738",
"telephone_number": "256-265-6851",
"fax_number": "256-265-6869"
}
],
"practiceLocations": [
{
"address_1": "1041 Balch Rd Ste 350",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "AL",
"postal_code": "357588822",
"country_code": "US",
"telephone_number": "256-265-6851",
"fax_number": "256-265-6869",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEAVER",
"first_name": "TONY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-16",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "DO.1352",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "UO2701",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "AL",
"license": "1352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "233999",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "232839",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.