DR. JOHN JOSEPH WEATHERWAX ARNP NPI 1245224567

NPI Information

NPI: 1245224567
Provider Name: DR. JOHN JOSEPH WEATHERWAX, ARNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
310 W LOSEY ST
SCOTT AFB, IL
ZIP 62225
Phone: (618) 256-7525
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DR. John Joseph Weatherwax, ARNP is a pediatrics nurse practitioner in Scott Afb, IL. DR. John Joseph Weatherwax, ARNP NPI is 1245224567. 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:

310 W LOSEY ST
SCOTT AFB, IL
ZIP 62225-250
Phone: (618) 256-7525

The NPI 1245224567 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 9/1/2005 and was last updated on 4/16/2018.

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		0024171604	VIRGINIA	No
2	163W00000X	Registered Nurse		ARNP 2749302	FLORIDA	No
3	163W00000X	Registered Nurse		0017141525	VIRGINIA	No
4	363LP0200X	Nurse Practitioner	Pediatrics	ARNP2749302	FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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