DAVID D WEAVER (NPI# 1508822545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508822545 |
| Entity Type | Individual |
| Full Name | DAVID D WEAVER |
| Credential | M.D. |
| Practice Address |
975 W Walnut St Ib 130 Indianapolis IN 46202-5181 |
| Mailing Address |
Po Box 44994 Indianapolis IN 46244-0994 |
| Practice Telephone | 3172743966 |
| Mailing Telephone | 3172744402 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2016-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
01026914 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100059190 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962849331 | David Weaver | Neurological Surgery | 725 Old Raritan Rd, Edison, NJ 08820-1021 | 2013-05-25 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1851584296 | David Scott Weaver | Dentist | 4841 Monroe St Ste 255, Toledo, OH 43623-4350 | 2007-08-20 |
| 1902934391 | David S. Weaver | Chiropractor | 115 Mcnary Estates Dr N, Ste E., Keizer, OR 97303-7492 | 2007-02-28 |
| 1679660526 | David A. Weaver | Dentist | 133 Northcreek Blvd, Goodlettsville, TN 37072-1911 | 2006-10-10 |
| 1285641969 | David H Weaver | Psychologist | 3429 Brazzaville Rd, Westerville, OH 43081-4004 | 2006-08-02 |
| 1720067606 | David Weaver | Emergency Medicine | 7300 N Canton Center Rd, Emergency Medicine Department, Canton, MI 48187-1579 | 2006-01-10 |
| 1790766426 | David E. Weaver | Optometrist | 1212 Haywood Rd, Suite 600, Greenville, SC 29615-2200 | 2005-11-09 |
| 1982202941 | David P Weaver | Physical Therapist | 55 Monument Rd, York, PA 17403-5023 | 2020-10-13 |
| 1568983591 | David Weaver | Optometrist | 1618 Route 9, Clifton Park, NY 12834 | 2017-06-29 |
| Street Address |
975 W WALNUT ST IB 130 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093797565 | Lisa J. Cushman | Genetic Counselor, MS | 975 W Walnut St, Ib 130, Indianapolis, IN 46202-5181 | 2005-11-18 |
| 1427421932 | Katelyn Burns | Psychologist | 975 W Walnut St, Suite Ib-130, Indianapolis, IN 46202-5181 | 2015-11-05 |
| 1558765180 | Kayla Treat | Counselor | 975 W Walnut St, Ib-130, Indianapolis, IN 46202-5181 | 2014-10-10 |
| 1598041246 | Stephanie B Gurnon | Genetic Counselor, MS | 975 W Walnut St, Ib 130, Indianapolis, IN 46202-5181 | 2011-10-26 |
| 1740566561 | Katherine L Sapp | Genetic Counselor, MS | 975 W Walnut St, Ib-130, Indianapolis, IN 46202-5181 | 2011-10-25 |
| 1922199660 | Virginia C. Thurston | Medical Genetics, Ph.D. Medical Genetics | 975 W Walnut St, Ib 264, Indianapolis, IN 46202-5181 | 2006-09-27 |
| 1154431567 | Bryan E Hainline | Medical Genetics | 975 W Walnut St, Indianapolis, IN 46202-5181 | 2006-08-30 |
| 1780637058 | Indiana University Medical Genetics Service, Inc. | Medical Genetics | 975 W Walnut St, Indianapolis, IN 46202-5181 | 2006-05-18 |
| 1487610051 | Wilfredo Torres-martinez | Medical Genetics | 975 W Walnut St, Ib 130, Indianapolis, IN 46202-5181 | 2006-04-24 |
| 1649236217 | Gail H Vance | Medical Genetics | 975 W Walnut St, Ib 130, Indianapolis, IN 46202-5181 | 2006-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861572117 | Brett Harrison Graham | Medical Genetics | 550 University Blvd, Iuhp Medical & Molecular Genetics, Aoc Suite 5001, Indianapolis, IN 46202 | 2006-10-17 |
| 1154431567 | Bryan E Hainline | Medical Genetics | 975 W Walnut St, Indianapolis, IN 46202-5181 | 2006-08-30 |
| 1174555999 | Stephanie M Ware | Medical Genetics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2006-07-06 |
| 1831120229 | Bradley T Tinkle | Medical Genetics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2006-07-05 |
| 1780637058 | Indiana University Medical Genetics Service, Inc. | Medical Genetics | 975 W Walnut St, Indianapolis, IN 46202-5181 | 2006-05-18 |
| 1487610051 | Wilfredo Torres-martinez | Medical Genetics | 975 W Walnut St, Ib 130, Indianapolis, IN 46202-5181 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356764419 | Northeast Indiana Genetics, LLC | Medical Genetics | 7230 Engle Rd, Fort Wayne, IN 46804-2209 | 2014-01-27 |
| 1174751218 | Zineb Abdelkarim Ammous | Medical Genetics | 315 Lehman Ave, #c, Topeka, IN 46571-9476 | 2009-06-27 |
| 1841478336 | Patricia I Bader | Medical Genetics | 7230 Engle Rd, Suite 140, Fort Wayne, IN 46804-2234 | 2008-02-06 |
| 1942488754 | Northwest Center Medical Services Corp. | Medical Genetics | 3400 Broadway, Gary, IN 46408-1101 | 2008-02-04 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on DAVID D 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.