Sharon R Weaver MD SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SHARON R WEAVER MD SC

Practice address

1302 Franklin Ave
Suite 3400
Normal, IL 61761-3551

Phone

(309) 451-9595

Fax

(309) 451-9583

NPI assigned

Sep 1, 2006

Last updated

Oct 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sharon R Weaver, M.D.NPI 1215049416

Title

Physician/Owner

Phone

(309) 451-9595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karla Renee Kossler, M.D.

  • Obstetrics & Gynecology Physician
  • Bloomington, IL
  • NPI 1780876961
  Medicare reassignment
• Sharon R Weaver, M.D.

  • Obstetrics & Gynecology Physician
  • Bloomington, IL
  • NPI 1215049416
  Authorized official Same address or phone

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1932211133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE",
            "address_2": "SUITE 3400",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613551",
            "telephone_number": "309-451-9595",
            "fax_number": "309-451-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE",
            "address_2": "SUITE 3400",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613551",
            "telephone_number": "309-451-9595",
            "fax_number": "309-451-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON R WEAVER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "309-451-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity's Corner
• Servant's Heart Midwifery Services
• Samir H. Shah, M.D.
• Tim Shannon, PSYD
• Amit Sharma, MD
• John Patrick Sheahan
• Emily Shelton, LMFT
• Mary Ann Shelton, LMBT
• Kristal H Shelvin, PHD
• Susan Sheppard

• Obstetrics & Gynecology Physician in Normal, IL
• Providers in Normal, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.