Angela M Weatherwax, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50-002174 Issued in OH

Practice address

3555 Olentangy River Rd
Suite 2050
Columbus, OH 43214-3912

Phone

(614) 566-2450

Fax

(614) 566-1895

NPI assigned

Sep 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Integrated Pain Solutions IncorporatedGroup PAC ID 7214008978, 20 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 and National Provider Directory roles.

• Integrated Pain Solutions Incorporated

  • Interventional Pain Medicine Physician
  • Columbus, OH
  • NPI 1568639037
  Medicare reassignment Care Compare group
• Ohiohealth Corporation

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273
  Medicare reassignment
• Integrated Pain Solutions Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, OH
  • NPI 1790535177
  NPD
• Ips ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Columbus, OH
  • NPI 1518379205
  NPD
• Ohiohealth Corporation

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Neurological Associates, Inc

  • Neurological Surgery Physician
  • Columbus, OH
  • NPI 1386799625
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1861486961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734439",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734439",
            "telephone_number": "614-383-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 OLENTANGY RIVER RD",
            "address_2": "SUITE 2050",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143912",
            "telephone_number": "614-566-2450",
            "fax_number": "614-566-1895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Bradenton Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430177567",
            "country_code": "US",
            "telephone_number": "614-383-6450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6397 Emerald Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430162231",
            "country_code": "US",
            "telephone_number": "614-383-6450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2818 Mack Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450145130",
            "country_code": "US",
            "telephone_number": "513-900-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1117 E Home Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455032725",
            "country_code": "US",
            "telephone_number": "614-383-6450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Gemini Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432406112",
            "country_code": "US",
            "telephone_number": "614-383-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERWAX",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-002174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068168",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Weatherly
• Alfie Marie Weathers, STNA
• Jejuan Weatherspoon
• Rokia Weatherspoon, ED.S.
• Stacy Lanette Weatherspoon
• Weaver Consultation Partners, LLC
• Alex Weaver
• Alexis Weaver, APRN-CNP, PMHNP-BC
• Alizaya Weaver
• Alyson Weaver

• Physician Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.