SEAN WEAVER (NPI# 1619270956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619270956 |
| Entity Type | Individual |
| Full Name | SEAN WEAVER |
| Credential | MSN, NPC |
| Practice Address |
211 S 3rd St Louisiana MO 63353-2000 |
| Practice Telephone | 5737545555 |
| Practice Fax Number | 5737544077 |
| Mailing Telephone | 5737545555 |
| Mailing Fax Number | 5737544077 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2011-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2010036624 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659988632 | Sean Gaylord Weaver | Physician Assistant | 2183 Stitzinger Rd, Tionesta, PA 16353-5343 | 2020-09-24 |
| 1821122219 | Sean Gregory Weaver | Physical Therapy Assistant | 15600 San Pedro Ave Ste 307, San Antonio, TX 78232-3739 | 2007-03-15 |
| 1730669318 | Sean Weaver | Physical Therapist | 1901a Mission 66, Vicksburg, MS 39180-3711 | 2018-08-14 |
| 1265824775 | Sean P. Weaver | Physician Assistant | 410 W 10th Ave, Columbus, OH 43210-1240 | 2015-02-21 |
| 1467794032 | Sean C. Weaver | Emergency Medicine | 901 Rancho Ln, Emergency Medicine, Las Vegas, NV 89106-3836 | 2013-03-21 |
| Street Address |
211 S 3RD ST |
| City | LOUISIANA |
| State | MO |
| Zip Code | 63353-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043650617 | Lab One LLC | Clinical Medical Laboratory | 211 S 3rd St, Louisiana, MO 63353-2000 | 2013-06-27 |
| 1194164087 | Jennifer Leigh Chandler | Nurse Practitioner | 211 S 3rd St, Louisiana, MO 63353-2000 | 2013-06-24 |
| 1558379735 | Susan T Voss | Family Medicine | 211 S 3rd St, Louisiana, MO 63353-2000 | 2006-08-04 |
| 1558389189 | Hannibal Regional Healthcare System Inc | Clinic/Center | 211 S 3rd St, Louisiana, MO 63353-2000 | 2006-07-18 |
| 1740280767 | Pike Medical Clinic, Inc | Family Medicine | 211 S 3rd St, Louisiana, MO 63353-2000 | 2005-08-01 |
| 1528068574 | Phillip W Pitney | Family Medicine | 211 S 3rd St, Louisiana, MO 63353-2000 | 2005-07-29 |
| 1982604930 | Jan F Onik | Family Medicine | 211 S 3rd St, Louisiana, MO 63353-2000 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063715845 | Austin Arness Brown | Physical Therapist | 2305 Georgia Street, Louisiana, MO 63353 | 2010-12-16 |
| 1962705749 | Margaret Therese Marden | Physical Therapist | 2305 West Georgia Street, Louisiana, MO 63353 | 2010-12-16 |
| 1487869582 | George Michael Vallar | Dentist | 211 Georgia St, Louisiana, MO 63353 | 2007-05-11 |
| 1558437350 | Frank T Thomalla IIi | Dentist | 3410 Georgia Street, Louisiana, MO 63353 | 2006-11-27 |
| 1346333572 | Stephen Francis Justice | Family Medicine | 2305 Georgia, Louisiana, MO 63353 | 2006-10-02 |
| 1821075672 | Mohammad Asif Waziri | Emergency Medicine | 2305 Gerorgia St, Louisiana, MO 63353 | 2005-12-22 |
| 1235432022 | Angela Theresa Gardner | Physical Therapist | 2305 Georgia Street, Louisiana, MO 63353 | 2010-12-16 |
| 1326061680 | Howard B. Schwadron, D.m.d. P.C. | Dentist | 801 Georgia St, Louisiana, MO 63353-1613 | 2006-07-26 |
| 1700800901 | Howard B. Schwadron | Dentist | 801 Georgia St, Louisiana, MO 63353-1613 | 2006-07-27 |
| 1205971132 | Family Health Pharmacies, Inc. | Durable Medical Equipment & Medical Supplies | 301 Georgia St, Louisiana, MO 63353-1717 | 2007-02-20 |
| Find all providers in zip 63353 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225499866 | Rachel Harris | Nurse Practitioner | 2305 Georgia St, Louisiana, MO 63353-2559 | 2016-03-09 |
| 1588077515 | Tanisha Esters | Nurse Practitioner | 6450 La Hwy 1, Suite B, Louisiana, LA 70747-4700 | 2014-06-06 |
| 1194164087 | Jennifer Leigh Chandler | Nurse Practitioner | 211 S 3rd St, Louisiana, MO 63353-2000 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.