Individual provider Active NPI

John S Weaver, MD

  • Surgery Physician
  • Denver, CO
National Provider Identifier
1780730366
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0048688 Issued in CO
Practice address
4600 Hale Pkwy Ste 340
Denver, CO 80220-4000
Phone
(303) 280-0900
Fax
(303) 280-3858
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 062175 GA
Surgery Physician 208600000X 0048688 CO Primary

Addresses

Primary practice location

4600 Hale Pkwy Ste 340
Denver, CO 80220-4000

Mailing address

4600 Hale Pkwy Ste 340
Denver, CO 80220-4000
Phone (303) 280-0900

Other identifiers 1

IdentifierTypeStateIssuer
19726881MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOHN.WEAVER@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20110929000534 CO Practitioner - General Surgery 0840341764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Colorado School of Medicine, Denver, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthone Clinic Services - Bariatric Medicine LLCGroup PAC ID 2163564006, 13 clinicians

Practice addresses (Care Compare)

4600 E 9TH Ave
Suite 200
Denver, CO 80220-4065
Phone (303) 280-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0048688COMDSurgery Physician
062175GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Bariatric Medicine LLC CurrentSince Apr 1, 2019 Accepting new patients
Healthone Clinic Services - Bariatric Medicine LLC Surgery CurrentSince Aug 25, 2024 Accepting new patients
HCA Healthone LLC Past Accepting new patients
Rocky Mountain Cancer Centers, LLP PastSince May 31, 2011 Accepting new patients

Locations

4600 E 9th Ave
Ste 200
Denver, CO 80220

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

4600 Hale Pkwy
Ste 340
Denver, CO 80220
Phone (303) 322-0500

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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.

Hospital & facility affiliations 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1780730366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 HALE PKWY STE 340",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204000",
            "telephone_number": "303-280-0900",
            "fax_number": "303-280-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 HALE PKWY STE 340",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204000",
            "telephone_number": "303-280-0900",
            "fax_number": "303-280-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "062175",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "0048688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19726881",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOHN.WEAVER@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4600 Hale Pkwy Ste 340",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802204000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.