MR. JEFFREY LEE WEAVER PA-C MMS NPI 1306005897

NPI Information

NPI: 1306005897
Provider Name: MR. JEFFREY LEE WEAVER, PA-C, MMS
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
725 W LOMBARD ST
SUITE 163 B
BALTIMORE, MD
ZIP 21201
Phone: (410) 706-2125
Get Directions

MR. Jeffrey Lee Weaver, PA-C, MMS is a medical physician assistant in Baltimore, MD. MR. Jeffrey Lee Weaver, PA-C, MMS NPI is 1306005897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

725 W LOMBARD ST
SUITE 163 B
BALTIMORE, MD
ZIP 21201-009
Phone: (410) 706-2125
Fax: (410) 706-3243

The enumeration date for this NPI number is 6/9/2008 and was last updated on 7/15/2010.

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	363AM0700X	Physician Assistant	Medical	C03641	MARYLAND	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	181937Y2Z	MEDICARE PIN	MARYLAND

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: 4/28/2024

NPI Synchronization or Removal

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