Marvin V Weaver IV, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

207675 Issued in LA

Practice address

8888 Summa Ave
Cardiology Tower 3Rd Floor
Baton Rouge, LA 70809-3720

Phone

(225) 769-4493

Fax

(225) 766-3144

NPI assigned

Apr 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Vascular Surgery

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baton Rouge General Physicians IncGroup PAC ID 5193623643, 189 clinicians

Baton Rouge General Medical CenterGroup PAC ID 4082600077, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
• The General Hospital, Baton Rouge, LA, CCN 190316

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mweaver21772@brgeneralhealthsystem.direct-ci.com
• FHIR API: https://app.meldrx.com/api/fhir/gemms-bat01

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.

• Baton Rouge General Medical Center

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1215199724
  Medicare reassignment Care Compare group NPD
• Baton Rouge General Physicians, Inc.

  • Obstetrics Physician
  • Baton Rouge, LA
  • NPI 1609134766
  Medicare reassignment Care Compare group NPD
• Cardiovascular Specialty Care Center of Baton Rouge LLC

  • Cardiovascular Disease Physician
  • Baton Rouge, LA
  • NPI 1033486881
  Medicare reassignment NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD
• Vascular Specialty Center LLC

  • Vascular Surgery Physician
  • Baton Rouge, LA
  • NPI 1730410408
  Medicare reassignment NPD
• Baton Rouge General Medical Center

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1407346984
  NPD
• Baton Rouge General Physicians, Inc.

  • Sleep Medicine (Internal Medicine) Physician
  • Baton Rouge, LA
  • NPI 1518688985
  NPD
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • Slidell, LA
  • NPI 1245597822
  NPD
• Vascular Specialty Center LLC

  • Vascular Surgery Physician
  • Baton Rouge, LA
  • NPI 1932525094
  NPD
• Baton Rouge General Medical Center

  • Neurological Surgery Physician
  • Baton Rouge, LA
  • NPI 1285887844
  NPD (past)
• Baton Rouge General Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1962537407
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baton Rouge General Medical Center

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1184648651

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1215199724

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • Neurological Surgery Physician
  • Baton Rouge, LA
  • NPI 1285887844

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1407346984

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1619504016
  Care Compare affiliation
• Baton Rouge General Medical Center

  • Clinic/Center
  • Baton Rouge, LA
  • NPI 1679096416

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1962537407
  Care Compare affiliation

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1801112503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 SUMMA AVE",
            "address_2": "CARDIOLOGY TOWER 3RD FLOOR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093720",
            "telephone_number": "225-769-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 SUMMA AVE",
            "address_2": "CARDIOLOGY TOWER 3RD FLOOR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093720",
            "telephone_number": "225-769-4493",
            "fax_number": "225-766-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MARVIN",
        "middle_name": "V",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "LA",
            "license": "207675",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "269236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2387405",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lachandra Weary
• Atiya Breshae Weatherspoon
• Demetris L Weatherspoon
• Donyah Shamayne Weatherspoon
• Claire White Weaver, MS, BCBA
• Lakesha Webb Spurlock, OWNER
• Bailie Lynn Webb
• Brian W. Webb, M.D.
• Dedrick Webb
• Dwana Webb

• Vascular Surgery Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Vascular Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.