Paula Weaver

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7451708-1206 Issued in UT

Practice address

3838 S 700 E
Salt Lake City, UT 84106-1466

Phone

(801) 261-4988

NPI assigned

Oct 3, 2016

Last updated

Dec 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Utah School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Wound Specialists PLLCGroup PAC ID 8921533183, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Professional Wound Specialists PLLC

  • Surgery Physician
  • Roy, UT
  • NPI 1598594483
  Medicare reassignment Care Compare group NPD
• Omega Interventional Pain PLLC

  • Pain Medicine Physician
  • Salt Lake City, UT
  • NPI 1417253907
  Medicare reassignment
• Ming-Wei Wu, Inc

  dba Professional Wound Specialists

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144

  UT

  Medicare reassignment
• Professional Wound Specialists PLLC

  • Surgery Physician
  • Albuquerque, NM
  • NPI 1033933494
  NPD

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1851840706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 S PARK ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061466",
            "telephone_number": "801-261-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "PAULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "7451708-8906",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "7451708-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindell K Weaver, MD
• Lori Weaver
• Mikaela Weaver
• Nancy Weaver, LPN
• Nicholas Weaver, PHARMD.
• Randy Steven Weaver, LCSW
• Rebecca Davis Weaver, A.P.R.N.
• Richard A Weaver, PH.D.
• Taija Marie Weaver
• Brandi Webb

• Physician Assistant in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.