ADAM WEAVER P.A.-C NPI 1891002606

NPI Information

NPI: 1891002606
Provider Name: ADAM WEAVER, P.A.-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1330 ROCKEFELLER AVE STE 400
EVERETT, WA
ZIP 98201
Phone: (425) 261-4950
Get Directions

Adam Weaver, P.A.-C is a surgical physician assistant in Everett, WA with 14 years of experience. Adam Weaver, P.A.-C NPI is 1891002606. 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:

1330 ROCKEFELLER AVE STE 400
EVERETT, WA
ZIP 98201-676
Phone: (425) 261-4950

The NPI 1891002606 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
Heart artery bypass to repair one artery (HCPCS:33533)

The enumeration date for this NPI number is 9/1/2010 and was last updated on 4/28/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		15-01515	KANSAS	No
2	363AM0700X	Physician Assistant	Medical		MISSOURI	No
3	363AS0400X	Physician Assistant	Surgical	PA60749442	WASHINGTON	Yes
4	363AS0400X	Physician Assistant	Surgical		MISSOURI	No

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	068002153	OTHER	KANSAS	MEDICARE PTAN
2	200852150A	MEDICAID	KANSAS

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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