Individual provider Active NPI

Tony Lee Weaver, DO

  • Plastic and Reconstructive Surgery Physician
  • Huntsville, AL
National Provider Identifier
1609161843
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
1352 Issued in AL
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
233999MedicaidAL
232839MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514001824 AL Practitioner - General SurgeryPractitioner - Plastic and Reconstructive Surgery 6406021393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Plastic and Reconstructive Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Physicians NetworkGroup PAC ID 6901132448, 107 clinicians

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

ProcedureNumber of procedures
Mastectomy11
Melanoma (skin cancer) excision32
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1352ALMDClinical Psychologist
DO.1352ALMDSurgery Physician
UO2701FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pickens County Health Care Authority Current Accepting new patients
American Family Care, LLC CurrentSince Jun 7, 2014 Accepting new patients
American Family Care, LLC Current Accepting new patients
HH Physicians Network Plastic and Reconstructive Surgery CurrentSince May 1, 2019 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.