William Henry Weaver, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS5726 Issued in FL

Practice address

3631 W Burleigh Blvd
Tavares, FL 32778-5803

Phone

(352) 742-0025

Fax

(352) 742-8167

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

General Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CFCF IncGroup PAC ID 3274541685, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Home Health Home health agency, Leesburg, FL, CCN 107155
• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.weaver.1@17462.direct.athenahealth.com
• Direct secure messaging: wweaver565872@direct.shands.ufl.edu
• FHIR API: https://api.platform.athenahealth.com/17462/brand/2/csg/1/fhir/r4

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.

• CFCF, Inc

  • Family Medicine Physician
  • Tavares, FL
  • NPI 1740206127
  Medicare reassignment Care Compare group NPD
• Roger Roque MD LLC

  • Multi-Specialty Clinic/Center
  • Leesburg, FL
  • NPI 1205571015
  Medicare reassignment
• West Orange Healthcare Inc

  • Emergency Medicine Physician
  • Ocoee, FL
  • NPI 1720073737
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Home Health and Hospice Inc

  • Home Health Agency
  • Leesburg, FL
  • NPI 1023045853
  Care Compare affiliation
• Florida Hospital Waterman Inc

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1699701565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 W BURLEIGH BLVD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785803",
            "telephone_number": "352-742-0025",
            "fax_number": "352-742-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 W BURLEIGH BLVD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785803",
            "telephone_number": "352-742-0025",
            "fax_number": "352-742-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376886400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OS5726",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara C Watkins
• John Thomas Watson, M.D.
• Rohan M Watson, MD
• Shasnor Watson Sr.
• Melissa Kaitlyn Weaver
• Victoria Denise Weeks Evans, BEHAVIOR ANALYST
• Samuel Clayton Weeks Jr., BEHAVIOR TECHNICIAN
• Scott Wehrly, M.D.
• Wei Beyond Acupuncture LLC
• Phyllis Wesley, M.S., LMHC

• Family Medicine Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.

Verify at the official NPI Registry.