Active NPI
Allison Westmoreland Weaver, M.D.
- Neurology Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01060418A
- Practice address
- 3700 Washington Ave
Evansville, IN 47714-0542 - Phone
- (812) 485-7040
- Fax
- (812) 485-7042
- NPI assigned
- Jun 22, 2005
- Last updated
- Jun 4, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01060418A | IN | Primary |
Addresses
Primary practice location
3700 Washington Ave
Evansville, IN 47714-0542
Mailing address
PO Box 359
Evansville, IN 47703-0359
Phone (812) 485-1220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200522390 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Kentucky College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 Washington Ave
3Rd Floor
Evansville, IN 47750-0541
Phone (812) 485-7843
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060418A | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary's Medical Group, LLC | Current | Accepting new patients | |
| Primary Physicians Network LLC | Current | Accepting new patients | |
| St Mary's Medical Group, LLC | Current | Accepting new patients | |
| Roderick L. Warren, M.D., P.C. | Neurology | Past | Accepting new patients |
Locations
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
3700 Washington Ave
Fl 3
Evansville, IN 47714
Phone (812) 485-7680
801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236
Organizations & group practices 4
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.
-
dba Ascension Medical Group St. Vincent Evansville
- Family Medicine Physician
- Evansville, IN
- NPI 1164852539
-
- Family Medicine Physician
- Evansville, IN
- NPI 1578786612
-
dba Ascension Medical Group St. Vincent Evansville
- Nephrology Physician
- Evansville, IN
- NPI 1619307873
-
- Neurology Physician
- Evansville, IN
- NPI 1407914195
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent Evansville
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1891791182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 359",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477030359",
"telephone_number": "812-485-1220",
"fax_number": "812-485-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 WASHINGTON AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140542",
"telephone_number": "812-485-7040",
"fax_number": "812-485-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "ALLISON",
"middle_name": "WESTMORELAND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01060418A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200522390",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.