MR. JUSTIN MARK WEAVER (NPI# 1245868496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245868496 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN MARK WEAVER |
| Credential | PA-C |
| Practice Address |
1592 Route 739 Dingmans Ferry PA 18328-3513 |
| Mailing Address |
336 Everly Rd Lake Ariel PA 18436-5730 |
| Practice Telephone | 5708288000 |
| Mailing Telephone | 9738036908 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | OA005167 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | MA061373 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245551886 | Justin Weaver | Student in an Organized Health Care Education/Training Program | 11234 Anderson Streeen, Gme Office Cp 21005, Loma Linda, CA 92354-2804 | 2010-06-17 |
| 1497252043 | Justin Weaver | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2018-04-10 |
| Street Address |
1592 ROUTE 739 |
| City | DINGMANS FERRY |
| State | PA |
| Zip Code | 18328-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868314 | Lisa Pathak | Internal Medicine | 1592 Route 739, Dingmans Ferry, PA 18328-3477 | 2005-08-18 |
| 1942737267 | Yahaira Rosario | Registered Nurse | 1592 Route 739, Dingmans Ferry, PA 18328-3513 | 2017-05-17 |
| 1134671522 | Lee Jaslow | Pharmacist | 1592 Route 739, 2, Dingmans Ferry, PA 18328-3513 | 2016-11-01 |
| 1023361946 | Pain and Neuropathy Center of Pa PC | Pain Medicine | 1592 Route 739, Dingmans Ferry, PA 18328-3513 | 2012-10-16 |
| 1144594185 | Akshaya Sadanand Bellary | Pharmacist | 1592 Route 739, Dingmans Ferry, PA 18328-3513 | 2012-03-07 |
| 1487964979 | Comprehensive Eye Associates LLC | Optometrist | 1592 Route 739, Dingmans Ferry, PA 18328 | 2010-10-18 |
| 1578897120 | Csb Pharmacy Inc | Pharmacy | 1592 Route 739, Suite # 2, Dingmans Ferry, PA 18328-3513 | 2009-09-30 |
| 1750524435 | Jasmine Martinez Zoschak | Physician Assistant | 1592 Route 739, Dingmans Ferry, PA 18328-3477 | 2009-04-11 |
| 1841431418 | Lisa Pathak Md LLC | Clinic/Center | 1592 Route 739, Dingmans Ferry, PA 18328-3477 | 2009-03-11 |
| 1831219336 | Chiranjivi Bharath Jannu | Pharmacist | 1592 Route 739, Dingmans Ferry, PA 18328-3513 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1235539222 | Teddi Sutherland | Audiologist-Hearing Aid Fitter | 102 Dingman Pl, Dingmans Ferry, PA 18328 | 2014-08-27 |
| 1629106547 | Mentors Resource & Development Corp | Psychologist | Rr H2 Box 1016c, Emery Rd, Dingmans Ferry, PA 18328 | 2007-03-01 |
| 1548279128 | Anthony J Vigorito | Chiropractor | 934 Milford Rd, Rr2 Box 225, Dingmans Ferry, PA 18328 | 2006-08-05 |
| 1821032061 | Delaware Township Volunteer Ambulance Corp Inc | Ambulance | 135 Park Rd, Dingmans Ferry, PA 18328 | 2006-06-16 |
| 1124435201 | Jennifer Smetana | Social Worker | 1869 Route 739, Suite 4, Dingmans Ferry, PA 18328-3409 | 2014-07-21 |
| 1235250572 | Kathleen Maura Donson | Social Worker | 1869 Suite 1 Route 739, Dingmans Ferry, PA 18328-3409 | 2007-04-03 |
| 1487799540 | James Patrick Carey | Social Worker | 1869 Route 739 Ste 2, Dingmans Ferry, PA 18328-3409 | 2007-02-20 |
| 1124540380 | Cornerstone Counseling | Social Worker | 1869 Route 739, Suite 4, Dingmans Ferry, PA 18328-3409 | 2017-07-10 |
| 1821537192 | Lisa Haniuk | Social Worker | 1869 Route 739, Dingmans Ferry, PA 18328-3409 | 2017-02-19 |
| Find all providers in zip 18328 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750524435 | Jasmine Martinez Zoschak | Physician Assistant | 1592 Route 739, Dingmans Ferry, PA 18328-3477 | 2009-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | DINGMANS FERRY |
| Zip Code | 18328 |
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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.