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DR. MICAELA WEAVER D.O. NPI 1992111884


NPI Information

NPI: 1992111884
Provider Name: DR. MICAELA WEAVER, D.O.
Classification: Surgery - 2086X0206X
Entity Type: Individual

Specialization: Surgical Oncology

PECOS Registration: Yes

Address:
1 BLACKSTONE STREET
2ND FLOOR
PROVIDENCE, RI
ZIP 02903
Phone: (401) 453-7520
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DR. Micaela Weaver, D.O. is a surgical oncology surgery in Providence, RI with 10 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. DR. Micaela Weaver, D.O. NPI is 1992111884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

1 BLACKSTONE STREET
2ND FLOOR
PROVIDENCE, RI
ZIP 02903
Phone: (401) 453-7520

The NPI 1992111884 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 7/11/2014 and was last updated on 6/25/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryDO00965RHODE ISLANDNo
22086X0206XSurgerySurgical OncologyDO00965RHODE ISLANDYes
32086X0206XSurgerySurgical Oncology285738MASSACHUSETTSNo
4390200000XStudent in an Organized Health Care Education/Training ProgramNEW YORKNo

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

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