Individual provider Active NPI

Jamie Weaver, P.A.-C

  • Medical Physician Assistant
  • Lancaster, OH
National Provider Identifier
1891819611
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50-00-1279 Issued in OH
Practice address
1550 Sheridan Dr
Suite 202
Lancaster, OH 43130-1380
Phone
(740) 654-0232
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50-00-1279 OH Primary

Addresses

Primary practice location

1550 Sheridan Dr
Suite 202
Lancaster, OH 43130-1380

Mailing address

430 E Allen St
Lancaster, OH 43130-2631
Phone (740) 689-0124

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040405001336 OH Practitioner - Physician Assistant 1052304219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Ohio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Surgical Dermatology IncGroup PAC ID 9739087602, 33 clinicians

Practice addresses (Care Compare)

1566 Monmouth Dr
Suite 201
Lancaster, OH 43130-8048
Phone (740) 687-1177

428 County Line Rd W
Westerville, OH 43082-7027
Phone (614) 847-4100

Hospital & facility affiliations

  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • Hocking Valley Community Hospital Hospital, Logan, OH, CCN 361330

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Promoting interoperability
81
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fahey Medical Center S.C. Current Accepting new patients
American Home Visiting Physicians Past Accepting new patients
CSD ASC LLC Past Accepting new patients

Locations

581 E Golf Rd
Des Plaines, IL 60016
Phone (847) 297-2240

Interoperability endpoints

  • Direct secure messaging: jweaver@directaddress.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1891819611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E ALLEN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302631",
            "telephone_number": "740-689-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SHERIDAN DR",
            "address_2": "SUITE 202",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301380",
            "telephone_number": "740-654-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JAMIE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50-00-1279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.