NPIMap

Individual provider Active NPI

Michael Thomas Weaver, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New Orleans, LA
National Provider Identifier
1932293222
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD.019166 Issued in LA
Practice address
3715 Prytania St
Ste 400
New Orleans, LA 70115-3761
Phone
(504) 897-8276
Fax
(504) 897-8336
NPI assigned
Oct 3, 2006
Last updated
Jun 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 019166 LA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD.019166 LA Primary

Addresses

Primary practice location

3715 Prytania St
Ste 400
New Orleans, LA 70115-3761

Mailing address

3600 Prytania St
Ste 35
New Orleans, LA 70115-3628
Phone (504) 897-8315

Other identifiers 2

IdentifierTypeStateIssuer
07559821MedicaidMS
1374474MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000097 LA Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Cardiac Surgery 5799747929 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8888 Summa Ave
FL 3
Baton Rouge, LA 70809-3783
Phone (225) 769-4493

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019166LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 1, 2009 Accepting new patients
Baton Rouge General Medical Center CurrentSince Aug 25, 2024 Accepting new patients
Baton Rouge General Medical Center Surgery Current Accepting new patients
Baton Rouge General Medical Center CurrentSince Aug 25, 2024 Accepting new patients
Ochsner Clinic LLC Surgery CurrentSince Nov 1, 2009 Accepting new patients
Crescent City Physicians, Inc. Surgery CurrentSince Jul 19, 2010 Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Cardiothoracic Surgery, LLC Surgery Past Accepting new patients
Touro Infirmary Past Accepting new patients

Locations

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

8888 Summa Ave
Fl 3
Baton Rouge, LA 70809
Phone (225) 769-4266

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

3525 Prytania St
Ste 418
New Orleans, LA 70115
Phone (504) 210-4280

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

3715 Prytania St
Ste 400
New Orleans, LA 70115
Phone (504) 897-8276

Organizations & group practices 12

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.

Hospital & facility affiliations 7

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1932293222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PRYTANIA ST",
            "address_2": "STE 35",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153628",
            "telephone_number": "504-897-8315",
            "fax_number": "504-891-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 PRYTANIA ST",
            "address_2": "STE 400",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153761",
            "telephone_number": "504-897-8276",
            "fax_number": "504-897-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "019166",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "MD.019166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07559821",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1374474",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.