Active NPI
Jonathan P Weaver, CRNA
- Certified Registered Nurse Anesthetist
- Wyomissing, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 78052
- Practice address
- 1 Granite Point Dr Ste 200
Wyomissing, PA 19610-1992 - Phone
- (610) 685-9204
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 78052 | PA | Primary |
Addresses
Primary practice location
1 Granite Point Dr Ste 200
Wyomissing, PA 19610-1992
Mailing address
PO Box 6738
Wyomissing, PA 19610-0738
Phone (610) 988-6060
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108434 | Other | PA | GEISINGER |
| 11803086 | Other | PA | CAQH |
| 1027812500001 | Medicaid | PA | |
| 1580156 | Other | PA | GATEWAY |
| 1982255 | Other | PA | HIGHMARK |
| 1982255 | Other | PA | FIRST PRIORITY |
| 2858756000 | Other | PA | IBC |
| 50069828 | Other | PA | CAPITAL ADVANTAGE |
| 9317982 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2630 Westview Dr
Reading, PA 19610-1130
Phone (610) 898-1515
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78052 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sda Consultants PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current | Accepting new patients | |
| Northeastern Anesthesia Physicians P.C. | Current | Accepting new patients | |
| Bryn Mawr Medical Specialists Association | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Midatlantic Endoscopy LLC | Current | Accepting new patients | |
| GSC Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current | Accepting new patients | |
| Rgal Anesthesia Services LLC | Current | Accepting new patients | |
| Pennsylvania Anesthesia Coalition LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients |
Locations (25 of 27)
400 10th St E
Waconia, MN 55387
1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
2100 Mack Blvd
Fl 4
Allentown, PA 18103
1245 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 402-9080
24 S 18th St
Allentown, PA 18104
Phone (610) 628-8372
2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300
2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888
825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800
825 Old Lancaster Rd
Ste 330
Bryn Mawr, PA 19010
Phone (484) 380-2880
625 Clark Ave
Ste 17B
King of Prussia, PA 19406
Phone (215) 654-1544
700 S Henderson Rd
Ste 335
Kng of Prussa, PA 19406
Phone (610) 337-2828
2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
1000 N Broad St
Ste 2
Lansdale, PA 19446
Phone (215) 412-9115
325 Central Ave
Fl 2
Malvern, PA 19355
2000 Grant Ave
Ste 101
Philadelphia, PA 19115
Phone (215) 990-6002
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
330 Main St
Scranton, PA 18519
Phone (570) 330-5000
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
100 E Lancaster Ave
Ste 158
Wynnewood, PA 19096
Phone (484) 206-5800
1011 Reed Ave
Ste 600
Wyomissing, PA 19610
Phone (610) 288-3229
1011 Reed Ave
Ste 300
Wyomissing, PA 19610
Phone (610) 374-4401
2630 Westview Dr
Wyomissing, PA 19610
Phone (610) 376-1981
1 Granite Point Dr
Ste 200
Wyomissing, PA 19610
Phone (610) 685-9204
Organizations & group practices 14
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.
-
- Anesthesiology Physician
- Sinking Spring, PA
- NPI 1861091290
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Bryn Mawr, PA
- NPI 1841226099
-
- Anesthesiology Physician
- Allentown, PA
- NPI 1275594830
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
-
- Anesthesiology Physician
- Lancaster, PA
- NPI 1699055251
-
- Certified Registered Nurse Anesthetist
- Allentown, PA
- NPI 1730174731
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1972994820
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1134718885
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
-
- Family Medicine Physician
- Whitehall, PA
- NPI 1962963199
-
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1255872784
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Rehabilitation Hospital Unit
- Reno, NV
- NPI 1851658025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1790989218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6738",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196100738",
"telephone_number": "610-988-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GRANITE POINT DR STE 200",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101992",
"telephone_number": "610-685-9204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "JONATHAN",
"middle_name": "P",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "78052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "108434",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11803086",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027812500001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1580156",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "1982255",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "1982255",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2858756000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL ADVANTAGE",
"identifier": "50069828",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9317982",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.