Individual provider Active NPI

Robert C Weaver, MD

  • Pediatrics Physician
  • Mount Pleasant, SC
National Provider Identifier
1609984582
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
SC14882 Issued in SC
Practice address
1041 Johnnie Dodds Blvd
Suite 5a
Mount Pleasant, SC 29464-6156
Phone
(843) 881-0007
Fax
(843) 884-3690
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X SC14882 SC Primary

Addresses

Primary practice location

1041 Johnnie Dodds Blvd
Suite 5a
Mount Pleasant, SC 29464-6156

Mailing address

1041 Johnnie Dodds Blvd
Suite 5a
Mount Pleasant, SC 29464-6156
Phone (843) 881-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
SC14882SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Pleasant Pediatrics, P.a. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1609984582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 5A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646156",
            "telephone_number": "843-881-0007",
            "fax_number": "843-884-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 5A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646156",
            "telephone_number": "843-881-0007",
            "fax_number": "843-884-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "SC14882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.