Weaver Medical Group

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0000001044 Issued in TN

Legal business name

WEAVER MEDICAL GROUP

Doing business as

Weaver Medical Supply

Practice address

6709 Kingston Pike
Knoxville, TN 37919-4830

Phone

(865) 777-6888

Fax

(888) 606-4866

NPI assigned

Jan 8, 2016

Last updated

Jan 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Kent Weaver Jr.

Title

Owner/Ceo

Phone

(865) 777-6888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Weaver Medical Supply Doing business as

Tax ID family

Abco Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Abco Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1003126848
  NPD tax ID

Locations

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1760848568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194830",
            "telephone_number": "865-777-6888",
            "fax_number": "888-606-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194830",
            "telephone_number": "865-777-6888",
            "fax_number": "888-606-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAVER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "865-777-6888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "0000001044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523744",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weaver Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Weatherford
• Amanda Weatherspoon
• Weatherstone Collaborative LLC
• Stephanie Swain Weatherstone, LCSW
• Weave the Path Psychotherapy LLC
• April A Weaver
• Chloe Weaver
• Eric Michael Weaver, MD
• Heather Weaver
• Kayleen Weaver

• Oxygen Equipment & Supplies (DME) in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Oxygen Equipment & Supplies (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.