GLENN E WEAVER (NPI# 1063463495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063463495 |
| Entity Type | Individual |
| Full Name | GLENN E WEAVER |
| Credential | DO |
| Practice Address |
575 N River St Wilkes Barre PA 18764-0999 |
| Mailing Address |
3998 Fair Ridge Dr Suite 300 Fairfax VA 22033-2921 |
| Practice Telephone | 5708298111 |
| Mailing Telephone | 7032599360 |
| Mailing Fax Number | 7037669725 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | OS0006308L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0014412060007 | 05 | |
| PA | RAILROAD MEDICARE | P01055356 | 01 |
| Street Address |
575 N RIVER ST |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18764-0999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528707 | Radiology Associates of Wyoming Valley, Inc | Radiology | 575 N River St, Wilkes Barre, PA 18764-0999 | 2005-06-20 |
| 1811511108 | Wilkes-barre Hospital Company LLC | Medicare Defined Swing Bed Unit | 575 N River St, Wilkes Barre, PA 18764-0999 | 2020-06-02 |
| 1790311645 | Michael L. Yucha Jr. | Physician Assistant | 575 N River St, Wilkes Barre, PA 18702-2634 | 2020-03-22 |
| 1508405739 | Leah Alexandra Merrick | Physician Assistant | 575 N River St, Wilkes Barre, PA 18702-2634 | 2020-01-06 |
| 1639667942 | Michael P Mcdaniel | Physician Assistant | 575 N River St, Wilkes Barre, PA 18764-0999 | 2018-04-23 |
| 1427577816 | Lindsay Marie Brown | Pharmacist | 575 N River St, Wilkes Barre, PA 18764-1902 | 2017-09-17 |
| 1417486572 | Ryan Seltzer | Nurse Practitioner | 575 N River St, Wilkes Barre, PA 18764-5628 | 2017-06-12 |
| 1790216067 | Carolina Favero Braga | Family Medicine | 575 N River St, Wilkes Barre, PA 18764-2008 | 2017-03-27 |
| 1558816694 | Wyoming Emergency Services, LLC | Emergency Medicine | 575 N River St, Wilkes Barre, PA 18764-0999 | 2016-08-18 |
| 1740734979 | Poconos Emergency Group, LLC | Emergency Medicine | 575 N River St, Wilkes Barre, PA 18764-0001 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134618259 | Alycia Saini | Family Medicine | 575 N River St., Wilkes-barre, PA 18764 | 2018-05-03 |
| 1265416564 | Linda B Wilk | Nurse Anesthetist, Certified Registered | 575 North River St, Wilkes-barre, PA 18764 | 2005-12-01 |
| 1356830400 | Aarun Chand Saini | Family Medicine | 575 N River St., Wilkes-barre, PA 18764 | 2018-05-04 |
| 1144316985 | Nicholas D Giordano | Internal Medicine | 575 North River Street, Wilkes-barre, PA 18764 | 2006-10-05 |
| 1598771313 | Susan M Thibeault | Nurse Anesthetist, Certified Registered | 326 Washington Street, Norwich, CT 18764 | 2006-08-01 |
| 1134638943 | George Ritz IIi | Physician Assistant | 575 N River Street Emergency Department, Wilkes Barre, PA 18764-0001 | 2017-09-25 |
| 1578528410 | Mark M. Radziewicz | Family Medicine | Wilkes Barre Geneal Hospital, 575 N. River Street, Wilkes Barre, PA 18764-0001 | 2006-04-20 |
| 1164832614 | Virginie Auguste | Hospitalist | 575 North River Street, Wilkes Barre, PA 18764-1851 | 2014-05-06 |
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922347582 | Daniel T Pompey Sr. | Anesthesiology | 48 Saratoga Ct, Wilkes Barre, PA 18702-7839 | 2013-02-01 |
| 1467848259 | Scott Michael Clarke | Anesthesiology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2015-04-08 |
| 1457642613 | Tejal Mehta | Anesthesiology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2011-04-22 |
| 1336452192 | Shay Emmett Robinson | Anesthesiology | 575 N River St, Wilkes Barre, PA 18702-2634 | 2010-07-22 |
| 1760704613 | Wilkes-barre Anesthesia Services | Anesthesiology | 575 N River St, Wilkes Barre, PA 18764-0001 | 2010-02-19 |
| 1558692277 | Kimberly Mary Moffat | Anesthesiology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2010-01-20 |
| 1629239728 | Seth Paul Reed | Anesthesiology | 1000 E Mountain Dr, 34-74, Wilkes Barre, PA 18711-0027 | 2008-06-20 |
| 1457522070 | Ankur Bipin Shah | Anesthesiology | 25 Church St, Geisinger Interventional Pain Clinic, Wilkes Barre, PA 18765-0999 | 2008-03-23 |
| 1922298652 | Melissa Ann Orner | Anesthesiology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2007-07-30 |
| 1093924086 | Laureen Helen Sheypuk | Anesthesiology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711 | 2007-05-22 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18764 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.