Individual provider Active NPI

Eric Weaverling

  • Specialist
  • Fishertown, PA
National Provider Identifier
1740256973
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD029361E Issued in PA
Practice address
2040 Quaker Valley Road
Fishertown, PA 15539
Phone
(814) 839-4152
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD029361E PA Primary

Addresses

Primary practice location

2040 Quaker Valley Road
Fishertown, PA 15539

Mailing address

Route 56
Box 123
Fishertown, PA 15539

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eric.r.weaverling@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100614000487 PA Practitioner - Family Practice 6204919400 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Aug 2, 1985 Accepting new patients
Upmc Community Medcine Inc CurrentSince Aug 2, 1985 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

249 Hospital Dr
Everett, PA 15537
Phone (814) 623-1166

2040 Quaker Valley Rd
Fishertown, PA 15539
Phone (814) 839-4152

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1740256973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROUTE 56",
            "address_2": "BOX 123",
            "city": "FISHERTOWN",
            "state": "PA",
            "postal_code": "15539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 QUAKER VALLEY ROAD",
            "city": "FISHERTOWN",
            "state": "PA",
            "postal_code": "15539",
            "telephone_number": "814-839-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVERLING",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD029361E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.r.weaverling@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishertown, PA

Sources for this page

Verify at the official NPI Registry.