SUSAN WEAVER


Address: 1723 Broadway St Ste 410, Cape Girardeau, MO 63701-4556
Phone: (573) 332-7746

SUSAN WEAVER (NPI# 1295074094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295074094
Entity Type Individual
Full Name SUSAN WEAVER
Practice Address 1723 Broadway St Ste 410
Cape Girardeau
MO 63701-4556
Practice Telephone (573) 332-7746
Practice Fax Number 5733399709
Mailing Telephone (573) 332-7746
Mailing Fax Number 5733399709
Enumeration Date 2013-02-14
Last Update Date 2017-09-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 2013002280 MO Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
2013002280 MO Physician Assistants & Advanced Practice Nursing Providers

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1649324914 Susan T Weaver Internal Medicine 3024 New Bern Ave Ste 300, Raleigh, NC 27610-1247 2007-01-23
1932554748 Susan Weaver Social Worker 1744 Payne Ave, Cleveland, OH 44114-2910 2016-04-29
1114381639 Susan Weaver Counselor 42 Delsea Dr S, Glassboro, NJ 08028-2621 2016-04-11
1568761799 Susan P. Weaver Social Worker 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 2011-03-28
1982921573 Susan Anne Weaver Occupational Therapist 12265 James St, Holland, MI 49424-8613 2010-04-22
1306179619 Susan Weaver Physical Therapist 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 2009-09-18
1588713382 Susan Lyn Weaver Social Worker 471 W South St, Ste. 41c, Kalamazoo, MI 49007-4678 2007-01-09
1073569273 Susan B Weaver Internal Medicine 1611 Cambridge St, Internal Medicine, Cambridge, MA 02138-4302 2006-05-26

Office Location

Street Address 1723 BROADWAY ST STE 410
City CAPE GIRARDEAU
State MO
Zip Code 63701-4556

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932428943 Kristi Dawn Skinner Clinical Nurse Specialist 1723 Broadway St Ste 410, Cape Girardeau, MO 63701-4556 2010-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336748110 Westbrook Dialysis, LLC Clinic/Center 140 West Drive, Cape Girardeau, MO 63701 2020-10-22
1972079580 Savannah Laine Menard Behavior Technician 20 S. Sprigg St, Cape Girardeau, MO 63701 2018-10-22
1932690377 Broadway Specialty, LLC Pharmacy 706 Broadway St, Cape Girardeau, MO 63701 2018-05-22
1356864649 Terri L. Mccord Pharmacist 4170 Connor Dr, Cape Girardeau, MO 63701 2017-07-19
1013459312 Christina Cossou Nurse Practitioner 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 2016-11-17
1124573365 Ashley Sullivan Massage Therapist 3041 Melrose Ave, Cape Girardeau, MO 63701 2016-08-17
1225432172 Axpm - Merkley, LLC Dentist 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 2014-10-21
1639573397 Marian Perez Hurt Physical Therapist 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 2014-10-09
1891194213 Deanna Abner Case Manager/Care Coordinator 20 South Sprigg, Cape Girardeau, MO 63701 2014-08-21
1831506880 Kwadwo O Britwum Behavioral Analyst Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 2014-07-22
Find all providers in zip 63701

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144700147 Taylor Babich Nurse Practitioner 1021 Emily Ct, Cape Girardeau, MO 63701-4569 2018-08-19
1659882546 Morgan Reiminger Nurse Practitioner 171 Red Hawk Rdg, Cape Girardeau, MO 63701-8380 2017-10-18
1902316938 Rebecca Susanne Williamson Nurse Practitioner 150 S Mount Auburn Rd Ste 320, Cape Girardeau, MO 63703-4911 2017-10-04
1194266528 Janet Stewart Nurse Practitioner 1620 Scivally Dr, Cape Girardeau, MO 63701-2431 2017-03-18
1013459312 Christina Cossou Nurse Practitioner 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 2016-11-17
1497104814 Emily Greenley Nurse Practitioner 150 S Mount Auburn Rd Ste 418, Cape Girardeau, MO 63703-4911 2016-06-07
1407125370 Jessica Sarah Suhre Nurse Practitioner 1701 Lacey Street, Hospitalist Dept, Cape Girardeau, MO 63701 2011-12-22
1144559246 Lisa M. Baker Nurse Practitioner 37 Doctors Park Ste 1, Cape Girardeau, MO 63703-4903 2009-12-18
1396072120 Heather Miller Nurse Practitioner 2116 Megan Drive, Suite 102, Cape Girardeau, MO 63701 2009-11-16
1184857872 Marie Nichole Wright Nurse Practitioner 817 S Mount Auburn Rd, Suite 100, Cape Girardeau, MO 63703-6383 2009-08-27
Find all providers in CAPE GIRARDEAU

Competitor

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City CAPE GIRARDEAU
Zip Code 63701

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Dataset Information

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.

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