Victoria Weaver, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00033982 Issued in WA

Practice address

1512 N Vercler Rd
#201
Spokane Valley, WA 99216-1087

Phone

(509) 921-6611

Fax

(509) 921-6613

NPI assigned

Apr 25, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Columbia Medical Associates LLC

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1154414761
  NPD (past)
• Physicians Clinic of Spokane PS

  • Multi-Specialty Clinic/Center
  • Spokane, WA
  • NPI 1336186105
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1770549982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N MCDONALD ROAD",
            "address_2": "#101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-924-1950",
            "fax_number": "509-921-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 N VERCLER RD",
            "address_2": "#201",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161087",
            "telephone_number": "509-921-6611",
            "fax_number": "509-921-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00033982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1099191",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "110253",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ann Wax, LMT
• Taylor Wayman, RN
• Dana M Weary, DC
• Lewis C Weaver, MD
• Madeline Hope Weaver
• Dianna Dawn Webb, MED
• Shayley Leigh Webb, PHARMD
• Teresa Jean Webb, RN
• Anthony William Weber, D.D.S.
• Lori Lorena Weber, D.D.S.

• Internal Medicine Physician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.