Individual provider Active NPI

Matthew Garrett Weaver, CRNA

  • Certified Registered Nurse Anesthetist
  • Sweetwater, TX
National Provider Identifier
1801088679
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
671037 Issued in TX
Practice address
1502 E 17TH St
Sweetwater, TX 79556-1734
Phone
(325) 721-7416
Fax
(325) 235-1701
NPI assigned
Aug 15, 2007
Last updated
Aug 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 671037 TX Primary

Addresses

Primary practice location

1502 E 17TH St
Sweetwater, TX 79556-1734

Mailing address

4100 International Plaza
Suite 600
Fort Worth, TX 76109
Phone (817) 224-0530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050131000603 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446200141 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rolling Plains Memorial HospitalGroup PAC ID 4688575228, 19 clinicians
Norman J Dozier MD PLLCGroup PAC ID 4284859810, 7 clinicians

Practice addresses (Care Compare)

200 E Arizona
PO Box 690
Sweetwater, TX 79556-7120

200 E Arizona Ave
Sweetwater, TX 79556-7120
Phone (325) 219-6237

2401 N Treadaway Blvd
Abilene, TX 79601-1953
Phone (325) 676-7700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Hospital Levelland CurrentSince Mar 16, 2015 Accepting new patients
West Texas Eye PA CurrentSince Sep 10, 2025 Accepting new patients
County of Ward Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2019 Accepting new patients
County of Ward CurrentSince Jan 1, 2019 Accepting new patients
West Texas Eye PA CurrentSince Sep 10, 2025 Accepting new patients
Rolling Plains Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Oct 29, 2010 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Feb 1, 2014 Accepting new patients
Terry Memorial Hospital District Nurse Anesthetist, Certified Registered CurrentSince Jul 9, 2020 Accepting new patients
Terry Memorial Hospital District CurrentSince Jul 9, 2020 Accepting new patients
Norman J Dozier MD PLLC CurrentSince Oct 17, 2025 Accepting new patients
Methodist Hospital Levelland CurrentSince Mar 16, 2015 Accepting new patients
Seminole Hospital District of Gaines County Texas Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2014 Accepting new patients
County of Ward Current Accepting new patients
Rolling Plains Memorial Hospital CurrentSince Oct 29, 2010 Accepting new patients
Abilene White Rock Surgery Center, LLC Past Accepting new patients

Locations

2401 N Treadaway Blvd
Abilene, TX 79601
Phone (325) 676-7700

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

12210 Quaker Ave
Lubbock, TX 79424
Phone (806) 412-5165

3611 50th St
Lubbock, TX 79413
Phone (806) 792-5900

5109 80th St
Lubbock, TX 79424
Phone (806) 792-5900

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Interoperability endpoints

  • Direct secure messaging: claude.freeze.p30@direct.avp.nextgenshare.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1801088679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 INTERNATIONAL PLAZA",
            "address_2": "SUITE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-224-0530",
            "fax_number": "817-877-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E 17TH ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795561734",
            "telephone_number": "325-721-7416",
            "fax_number": "325-235-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MATTHEW",
        "middle_name": "GARRETT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "671037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.

Verify at the official NPI Registry.