Individual provider Active NPI

Elizabeth M Weaver, M.D.

  • Family Medicine Physician
  • Herndon, VA
National Provider Identifier
1689744252
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101232754 Issued in VA
Practice address
209 Elden St
Ste 209
Herndon, VA 20170-4852
Phone
(703) 466-5000
Fax
(877) 795-8153
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101232754 VA Primary

Addresses

Primary practice location

209 Elden St
Ste 209
Herndon, VA 20170-4852

Mailing address

209 Elden St
Ste 209
Herndon, VA 20170-4852
Phone (703) 466-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20081008000592 DC Practitioner - Family Practice 5698843324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

209 Elden St
Suite 209
Herndon, VA 20170-4846
Phone (703) 466-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth M Weaver, M.D., P.L.C. Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

209 Elden St
Ste 209
Herndon, VA 20170
Phone (703) 435-2574

Organizations & group practices 2

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1689744252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ELDEN ST",
            "address_2": "STE 209",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704852",
            "telephone_number": "703-466-5000",
            "fax_number": "877-795-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ELDEN ST",
            "address_2": "STE 209",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704852",
            "telephone_number": "703-466-5000",
            "fax_number": "877-795-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101232754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.