JORDAN RAY WEAVER (NPI# 1225594575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225594575 |
| Entity Type | Individual |
| Full Name | JORDAN RAY WEAVER |
| Practice Address |
5726 Southwyck Blvd Ste 200 Toledo OH 43614-1510 |
| Mailing Address |
318 Wrexham Ln Apt 4 Maumee OH 43537-4529 |
| Practice Telephone | 4198655690 |
| Practice Fax Number | 4198655691 |
| Mailing Telephone | 4193920062 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CDCA LICENSE | 168525 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987020 | Jordan Weaver | Chiropractor | 2523 S 10th Ave Ste 102, Caldwell, ID 83605-6760 | 2019-02-05 |
| 1558971150 | Jordan M Weaver | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-08-07 |
| 1952948994 | Jordan Tyler Weaver | Day Training/Habilitation Specialist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2019-12-10 |
| 1780121863 | Jordan K Weaver | Nurse Practitioner | 2400 Avalon Ave, Muscle Shoals, AL 35661-3187 | 2017-01-26 |
| Street Address |
5726 SOUTHWYCK BLVD STE 200 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43614-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245619113 | Choices | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2015-05-26 |
| 1780234385 | Valerie Gilmer | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2019-09-16 |
| 1730738758 | Thomas Osley | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2019-09-11 |
| 1356990394 | Ashley Nicole Dodge | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2019-09-11 |
| 1760039101 | Kathy Ann Goodwin-williams | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2019-08-21 |
| 1386291995 | Lauren Elizabeth Miller | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2019-08-20 |
| 1023661329 | Skylar Crandell | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2019-07-17 |
| 1912564501 | Amy Bieber | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2019-05-20 |
| 1871157461 | Charity Browder | Registered Nurse | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2019-04-29 |
| 1730743774 | Jacob Oren Empey | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2019-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
| 1902417926 | Heather Louise Perne | Nurse Practitioner | The University of Toledo Medical Center, 3000 Arlington Ave, Toledo, OH 43614 | 2020-08-13 |
| 1750910188 | Joseph Nabil Said Kamel | Student in an Organized Health Care Education/Training Program | 3120 Glendale Ave Ste L, Toledo, OH 43614 | 2020-04-07 |
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1154983120 | Yong Woo Jeon | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614 | 2019-06-30 |
| 1093372096 | Anwer Aldhaheri | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Ms 1095, Dowling Hall, Room 2153a, Toledo, OH 43614 | 2019-05-24 |
| 1073090205 | Syed Fahmeed Imam | Student in an Organized Health Care Education/Training Program | Ruppert Health Center, 3125 Transvers Dr, Toledo, OH 43614 | 2018-07-20 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| Find all providers in zip 43614 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878885 | Transformative Solutions LLC | Community/Behavioral Health | 3454 Oak Alley Ct Ste 404, Toledo, OH 43606-1355 | 2020-10-10 |
| 1184243727 | Young Men and Women for Change | Community/Behavioral Health | 2467 1/2 Nebraska Ave, Toledo, OH 43607-3531 | 2020-04-14 |
| 1962038844 | Lance Larkin | Community/Behavioral Health | 5151 Monroe St Ste 204, Toledo, OH 43623-3467 | 2020-03-23 |
| 1013543040 | Revitalized Behavioral Healthcare, LLC | Community/Behavioral Health | 5577 Airport Hwy Ste 102, Toledo, OH 43615-7364 | 2020-03-22 |
| 1043846165 | Sound Mind Behavioral Wellness, LLC | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200-b, Toledo, OH 43614-1559 | 2020-03-20 |
| 1982259693 | Family Guidance Centers of Ohio, Inc. | Community/Behavioral Health | 4354 Monroe St, Toledo, OH 43606-1959 | 2019-08-08 |
| 1285199521 | Positive Living Solutions, LLC | Community/Behavioral Health | 1011 Monroe St, Toledo, OH 43604-5912 | 2019-01-31 |
| 1811468085 | Sasia N King | Community/Behavioral Health | 830 N. Summit Suite #2, Toledo, OH 43604-1884 | 2018-12-16 |
| 1669943981 | St. Paul's Community Center | Community/Behavioral Health | 230 13th St, Toledo, OH 43604-5443 | 2018-12-14 |
| 1386126456 | Changing Lives | Community/Behavioral Health | 316 N Michigan St Ste 435, Toledo, OH 43604-5666 | 2018-09-05 |
| Find all providers in TOLEDO | ||||
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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.