NPIMap

Individual provider Active NPI

Kent Weaver

  • Emergency Medicine Physician
  • Toledo, OH
National Provider Identifier
1699207514
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.013739 Issued in OH
Practice address
Acc Trauma Clinic 2213 Cherry Street
Toledo, OH 43608
Phone
(419) 251-4283
Fax
(419) 251-0814
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.013739 OH Primary

Addresses

Primary practice location

Acc Trauma Clinic 2213 Cherry Street
Toledo, OH 43608

Mailing address

2223 Cherry St.
Toledo, OH 43608

Other practice location 1

106 Three Meadows Ct
Perrysburg, OH 43551-3192
Phone (419) 961-4380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190812001383 OH Practitioner - Emergency Medicine 1759651102 Reassigns benefits to 4 organizations
I20201008000653 MI Practitioner - Emergency Medicine 1759651102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Toledo HospitalGroup PAC ID 2961309638, 118 clinicians
Emergency Physicians of Northwest Ohio, Inc.Group PAC ID 3375456478, 102 clinicians
Observation Physicians of Northwest Ohio LLCGroup PAC ID 7416365630, 37 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.25 of 100Reported as group
Quality
96.55
Improvement activities
40
Cost
89.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.013739OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
The Toledo Hospital CurrentSince Nov 1, 2021 Accepting new patients
The Toledo Hospital CurrentSince Nov 1, 2021 Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Emergency Physicians of Northwest Ohio Inc. Emergency Medicine CurrentSince Aug 10, 2020 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1699207514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 CHERRY ST.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ACC TRAUMA CLINIC 2213 CHERRY STREET",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43608",
            "telephone_number": "419-251-4283",
            "fax_number": "419-251-0814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Three Meadows Ct",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435513192",
            "country_code": "US",
            "telephone_number": "419-961-4380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KENT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.013739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.