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JEFFREY J WEAVER PHYSICIANS ASSISTANT NPI 1023071990


NPI Information

NPI: 1023071990
Provider Name: JEFFREY J WEAVER, PHYSICIANS ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
126 E CHURCH ST
SUITE 2100
SOMERSET, PA
ZIP 15501
Phone: (814) 443-1281
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Jeffrey J Weaver, PHYSICIANS ASSISTANT is a medical physician assistant in Somerset, PA. Jeffrey J Weaver, PHYSICIANS ASSISTANT NPI is 1023071990. 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:

126 E CHURCH ST
SUITE 2100
SOMERSET, PA
ZIP 15501-271
Phone: (814) 443-1281
Fax: (814) 443-3214

The enumeration date for this NPI number is 4/10/2006 and was last updated on 7/1/2013.


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
1363AS0400XPhysician AssistantSurgicalMA050959PENNSYLVANIANo
2363AM0700XPhysician AssistantMedicalOA00970PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1058375MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAMEDICARE
2P23223MEDICARE UPINPENNSYLVANIA

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

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.