MARK E WEAVER (NPI# 1295722080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295722080 |
| Entity Type | Individual |
| Full Name | MARK E WEAVER |
| Credential | DPM |
| Practice Address |
1645 Colonial Blvd Fort Myers FL 33907-1101 |
| Practice Telephone | 2392784448 |
| Practice Fax Number | 2399391286 |
| Mailing Telephone | 2392784448 |
| Mailing Fax Number | 2399391286 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2011-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO00001857 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 87996 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033246343 | Mark A. Weaver | Optometrist | 1001 Buchanan Dr Ste 3, Burnet, TX 78611-2329 | 2007-02-27 |
| 1124138755 | Mark S Weaver | Dentist | 4638 Westgate Blvd, Austin, TX 78745-1461 | 2006-08-30 |
| 1558926154 | Mark Alan Weaver | Peer Specialist | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2019-05-08 |
| 1033614854 | Mark Kainbridge Weaver | Student in an Organized Health Care Education/Training Program | 1250 E 66th St, Savannah, GA 31404-5704 | 2018-03-25 |
| 1801274600 | Mark Weaver | Physician Assistant | 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 | 2015-05-12 |
| 1154608180 | Mark Edwin Weaver | General Practice | 158 Wetherby Ln, Westerville, OH 43081-4957 | 2011-11-04 |
| 1194005090 | Mark Alexander Weaver | Specialist/Technologist | 325 Cherry Ave, Mc Kenzie, TN 38201-1769 | 2011-08-23 |
| 1801949045 | Mark L Weaver | Physical Therapist | 317 N. Faler Ave, Pinedale, WY 82941 | 2007-01-19 |
| 1508928680 | Mark Shannon Weaver | Counselor | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2006-12-14 |
| 1982796678 | Mark T. Weaver | Counselor | 2285 Benden Dr, Wooster, OH 44691-2568 | 2006-09-29 |
| Street Address |
1645 COLONIAL BLVD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386996395 | A Foot Care Center LLC | Podiatrist | 1645 Colonial Blvd, Fort Myers, FL 33907-1101 | 2012-10-15 |
| 1578820700 | Mark E Weaver, Dpm | Podiatrist | 1645 Colonial Blvd, Fort Myers, FL 33907-1101 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437248648 | Brian K Doerr Dpm Pa | Podiatrist | 14391 Metropolis Avenue, Suite 103, Fort Myers, FL 33912 | 2006-10-12 |
| 1093729592 | Jeffrey Eric Kleiman | Podiatrist | 8350 Riverwalk Park Blvd Ste 1, Fort Myers, FL 33919-8759 | 2006-07-28 |
| 1073536207 | Howard M Imanuel Dpm Pa | Podiatrist | 13681 Metropolis Ave, Fort Myers, FL 33912-4318 | 2006-07-26 |
| 1174587075 | Patricia Nicholas | Podiatrist | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919-3370 | 2006-04-17 |
| 1780665869 | Lori Lynn Finn | Podiatrist | 13761 Mcgregor Blvd, Fort Myers, FL 33919-6120 | 2005-11-07 |
| 1750381190 | Howard M Imanuel | Podiatrist | 8851 Boardroom Cir, Fort Myers, FL 33919-4888 | 2005-07-28 |
| 1194725002 | Foot & Ankle Group of Southwest Florida, Pa | Podiatrist | 5238 Mason Corbin Ct, Suite 102, Fort Myers, FL 33907-7738 | 2005-07-21 |
| 1700339108 | Axel Podiatry Services LLC | Podiatrist | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2016-08-02 |
| 1578820700 | Mark E Weaver, Dpm | Podiatrist | 1645 Colonial Blvd, Fort Myers, FL 33907-1101 | 2012-04-12 |
| 1184807745 | Southwest Independent Practice Assoc | Podiatrist | 5238 Mason Corbin Ct, Suite 102, Fort Myers, FL 33907-7738 | 2007-12-06 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on MARK E WEAVER.
| 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.