Individual provider Active NPI

Phillip Alexander Weaver, MMSC, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1962062620
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8012 Issued in AZ
Practice address
6320 N la Cholla Blvd Ste 300
Tucson, AZ 85741-3552
Phone
(520) 545-0953
Fax
(520) 545-0954
NPI assigned
Jun 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8012 AZ Primary

Addresses

Primary practice location

6320 N la Cholla Blvd Ste 300
Tucson, AZ 85741-3552

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (520) 742-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phillip.weaver.1@1576.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20201208000841 AZ Practitioner - Physician Assistant 4981016441 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pima Heart Physicians PCGroup PAC ID 6507751294, 65 clinicians

Practice addresses (Care Compare)

15920 S Rancho Sahuarita Blvd
Suite 120
Sahuarita, AZ 85629-8013
Phone (520) 838-3540

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-3000

2404 E River Rd
Suite 100
Tucson, AZ 85718-6521

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 838-3540

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 327-5461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8012AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Hospital Corporation CurrentSince Jun 17, 2022 Accepting new patients
Pima Heart Physicians, PC CurrentSince May 1, 2025 Accepting new patients
Pima Heart Physicians, PC CurrentSince May 1, 2025 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Feb 15, 2024 Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

480 N Morley Ave
Nogales, AZ 85621
Phone (520) 287-2726

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

15920 S Rancho Sahuarita Blvd
Ste 120
Sahuarita, AZ 85629
Phone (520) 575-1175

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

10350 E Drexel Rd
Tucson, AZ 85747
Phone (520) 290-4846

555 E River Rd
Ste 101
Tucson, AZ 85704

6320 N La Cholla Blvd
Ste 300
Tucson, AZ 85741
Phone (520) 545-0953

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

2404 E River Rd
Ste 100
Tucson, AZ 85718
Phone (520) 585-5796

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

1714 W Anklam Rd
Ste 104
Tucson, AZ 85745
Phone (520) 229-9600

1238 W Orange Grove Rd
Ste 103
Tucson, AZ 85704

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

10350 E Drexel Rd
Ste 210
Tucson, AZ 85747
Phone (520) 625-6600

4729 E Camp Lowell Dr
Tucson, AZ 85712

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

Interoperability endpoints

  • Direct secure messaging: phillip.weaver@ushv.eclinicaldirectplus.com

Organizations & group practices 8

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 3

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": "1560556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1962062620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "520-742-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N LA CHOLLA BLVD STE 300",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413552",
            "telephone_number": "520-545-0953",
            "fax_number": "520-545-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "PHILLIP",
        "middle_name": "ALEXANDER",
        "credential": "MMSC, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-15",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phillip.weaver.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6320 N La Cholla Blvd Ste 300",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.