DR. RICHARD J WEAVER (NPI# 1912911371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912911371 |
| Entity Type | Individual |
| Full Name | DR. RICHARD J WEAVER |
| Credential | DC |
| Practice Address |
83 Bangor Junction Road Blue Valley Plaza Bangor PA 18013 |
| Mailing Address |
331 S Broad St Nazareth PA 18064 |
| Practice Telephone | 6105887640 |
| Practice Fax Number | 6105887114 |
| Mailing Telephone | 6103931440 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC007215L | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BC | 02783600 | 01 |
| PA | AETNA | 2215248 | 01 |
| PA | BLUE SHIELD | 557504 | 01 |
| PA | BLUE SHIELD | 768867 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356903785 | Richard Weaver | Specialist/Technologist | 1120 N Judd Pl, Chandler, AZ 85226-8709 | 2019-07-05 |
| 1568989994 | Richard Dana Weaver Jr. | Social Worker | 8003 Maple Grove Dr, Georgetown, IN 47122-9047 | 2017-08-25 |
| 1548684715 | Richard Carlton Weaver | Counselor | 5600 W Maple Rd Ste D401, West Bloomfield, MI 48322-3711 | 2014-02-09 |
| 1912919846 | Richard Emil Weaver | Dentist | 3590 Blackmon Ln, #1, Beaumont, TX 77706-7927 | 2006-08-12 |
| 1275573651 | Richard Weaver | Anesthesiology | 2080 W Arlington Blvd Ste A, Greenville, NC 27834-3770 | 2006-06-07 |
| 1528049004 | Richard C Weaver | Optometrist | 2609 N Main St, Belton, TX 76513-1521 | 2005-11-10 |
| 1265755342 | Richard Madison Weaver | Pharmacist | 601 Spartanburg Hwy, Hendersonville, NC 28792-5762 | 2010-03-03 |
| 1912128927 | Richard Todd Weaver | Dentist | 775 Route 113, Souderton, PA 18964-1000 | 2007-05-01 |
| 1669567236 | Richard L. Weaver | Specialist | 911 Bypass Road, Pikeville, KY 41501 | 2006-10-03 |
| 1750322301 | Richard A Weaver | Psychologist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2006-06-08 |
| Street Address |
83 BANGOR JUNCTION ROAD BLUE VALLEY PLAZA |
| City | BANGOR |
| State | PA |
| Zip Code | 18013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104298140 | Blue Valley Vision LLC | Eyewear Supplier (Equipment, not the service) | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-10-29 |
| 1588064554 | Roxanne Decesare | Reflexologist | 429 South First St, Bangor, PA 18013 | 2014-08-27 |
| 1467781708 | Shadys Rest | Preferred Provider Organization | 1004 W Juniata Street, Allentown, PA 18013 | 2009-12-16 |
| 1104373265 | Heavenly Vision | Technician/Technologist | 455 Blue Valley Dr, Bangor, PA 18013 | 2016-09-07 |
| 1881059293 | Timothy James Velekei Sr. | Technician/Technologist | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-12-30 |
| 1629492608 | Elizabeth Kostura | Counselor | 51 Market Street, Bangor, PA 18013 | 2014-02-11 |
| 1518261593 | Carol Augusta Olzinski | Social Worker | 51 Market Street, Bangor, PA 18013 | 2011-01-05 |
| 1073846390 | Christa Robinson | Specialist/Technologist | 19 Columbus St, Apt 3, Roseto, PA 18013 | 2009-09-18 |
| 1326096587 | Matthew Nicholas Sabatine Jr. | Dentist | 137 Broadway, Bangor, PA 18013 | 2006-05-04 |
| 1386040830 | Kerianne Marie Hicks | Behavioral Analyst | 837 Garibaldi Ave, Roseto, PA 18013-1001 | 2014-11-11 |
| Find all providers in zip 18013 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174096309 | Vanidestine Chiropractic, Inc | Chiropractor | 336 Mount Hope Ave Ste 11, Bangor, ME 04401-4236 | 2019-01-10 |
| 1205306503 | Daniel Luigi Comunale | Chiropractor | 622 Fox Gap Rd, Bangor, PA 18013-5833 | 2018-11-29 |
| 1699264143 | My Life Well Adjusted LLC | Chiropractor | 268 State St Ste 1, Bangor, ME 04401-5417 | 2018-05-09 |
| 1598079873 | Nathan Bryan Roberts | Chiropractor | 125 W Monroe St, Bangor, MI 49013-1332 | 2010-07-29 |
| 1558699314 | Rickie Lane Ames | Chiropractor | 804 Stillwater Ave, Bangor, ME 04401-3614 | 2009-12-05 |
| 1912167057 | Healthsource of Bangor S C | Chiropractor | 1505 Commercial St, Bangor, WI 54614-0410 | 2008-06-12 |
| 1174652291 | Jack Anthony Manzella | Chiropractor | 1505 Commercial St., Bangor Family Chiropractic, Bangor, WI 54614 | 2007-03-05 |
| 1154469047 | Richard J Thomas | Chiropractor | 804 Stillwater Avenue, Bangor, ME 04401 | 2007-02-02 |
| 1164438917 | Robin William Gooden | Chiropractor | 16 Penn Plz, Ste 22, Bangor, ME 04401-3620 | 2006-08-01 |
| 1841219029 | Richard M. Bruns | Chiropractor | 371 Union St, Bangor, ME 04401-4504 | 2006-07-19 |
| Find all providers in BANGOR | ||||
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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.