Robert D. Weaver DPM Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36002892 Issued in OH

Legal business name

ROBERT D. WEAVER DPM INC

Practice address

6551 Wilson Mills Rd
Suite #104
Mayfield Village, OH 44143-3495

Phone

(440) 442-3113

Fax

(440) 442-5137

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert D Weaver, DPM

Title

President

Phone

(440) 442-3113

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1790804656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 WILSON MILLS RD",
            "address_2": "SUITE #104",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433495",
            "telephone_number": "440-442-3113",
            "fax_number": "440-442-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 WILSON MILLS RD",
            "address_2": "SUITE #104",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433495",
            "telephone_number": "440-442-3113",
            "fax_number": "440-442-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. WEAVER DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-442-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3041407",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.