MR. TYLER NATHAN WEAVER CNP NPI 1265943880

NPI Information

NPI: 1265943880
Provider Name: MR. TYLER NATHAN WEAVER, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: OHIO GASTROENTEROLOGY GROUP, INC.

PECOS Registration: Yes

Address:
3400 OLENTANGY RIVER RD
COLUMBUS, OH
ZIP 43202
Phone: (614) 754-5500
Get Directions

MR. Tyler Nathan Weaver, CNP is an adult health nurse practitioner in Columbus, OH with 7 years of experience. MR. Tyler Nathan Weaver, CNP NPI is 1265943880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

3400 OLENTANGY RIVER RD
COLUMBUS, OH
ZIP 43202-523
Phone: (614) 754-5500
Fax: (614) 457-9519

The NPI 1265943880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2017 and was last updated on 3/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN.402950	OHIO	No
2	363LA2200X	Nurse Practitioner	Adult Health	APRN.CNP.022337	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0264322	MEDICAID	OHIO
2	14125201	OTHER		CAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »