Active NPI
Terry David Weaver, DPM
- Foot & Ankle Surgery Podiatrist
- Lebanon, PA
National Provider Identifier
1942395868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC002516-L
- Practice address
- 1700 South Lincoln Avenue
VA Medical Center
Lebanon, PA 17042 - Phone
- (717) 228-5952
- Fax
- (717) 228-5955
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC002516-L | PA | Primary |
Addresses
Primary practice location
1700 South Lincoln Avenue
VA Medical Center
Lebanon, PA 17042
Mailing address
1700 South Lincoln Avenue
VA Medical Center
Lebanon, PA 17042
Phone (717) 228-5952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC002516-L | PA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942395868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 SOUTH LINCOLN AVENUE",
"address_2": "VA MEDICAL CENTER",
"city": "LEBANON",
"state": "PA",
"postal_code": "17042",
"telephone_number": "717-228-5952",
"fax_number": "717-228-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 SOUTH LINCOLN AVENUE",
"address_2": "VA MEDICAL CENTER",
"city": "LEBANON",
"state": "PA",
"postal_code": "17042",
"telephone_number": "717-228-5952",
"fax_number": "717-228-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "TERRY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC002516-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.