DR. TERRY DAVID WEAVER (NPI# 1942395868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942395868 |
| Entity Type | Individual |
| Full Name | DR. TERRY DAVID WEAVER |
| Credential | DPM |
| Practice Address |
1700 South Lincoln Avenue Va Medical Center Lebanon PA 17042 |
| Practice Telephone | 7172285952 |
| Practice Fax Number | 7172285955 |
| Mailing Telephone | 7172285952 |
| Mailing Fax Number | 7172285955 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC002516-L | PA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831390129 | Terry P Weaver | Internal Medicine | 48 Old Stockbridge Rd, Lenox, MA 01240-2809 | 2007-05-31 |
| 1528063997 | Terry Dean Weaver | Family Medicine | 602 1st St Ne Ste 1, Wessington Springs, SD 57382-2163 | 2005-06-14 |
| 1053580076 | Terry M Weaver | Physical Therapy Assistant | 616 E 13th St, Winamac, IN 46996-1117 | 2008-02-24 |
| 1780690883 | Terry Harlan Weaver | Pharmacist | 100f W Dean Keeton St, 1.110, Austin, TX 78712-1006 | 2006-07-31 |
| Street Address |
1700 SOUTH LINCOLN AVENUE VA MEDICAL CENTER |
| City | LEBANON |
| State | PA |
| Zip Code | 17042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174582266 | John Samuel Halcovage | Internal Medicine | 1700 South Lincoln Avenue, Lebanon, PA 17042 | 2006-03-20 |
| 1508336843 | Debra M Brenize | Dietitian, Registered | 1700 South Lincoln Avenue, Lebanon, PA 17042 | 2018-11-29 |
| 1326567017 | Keith Walter Edinger | Nurse Practitioner | 1700 South Lincoln Avenue, Lebanon, PA 17042 | 2017-09-13 |
| 1639408792 | Cheryl Ann Lee | Social Worker | 1700 South Lincoln Avenue, Lebanon, PA 17042 | 2009-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205155850 | Christopher Scott Benac | Podiatrist | 1424 W Baddour Pkwy Ste E, Lebanon, TN 37087-2685 | 2010-05-21 |
| 1669436085 | Christopher Andrew Seda | Podiatrist | 840 Helen Drive, Suite 1, Lebanon, PA 17042-5300 | 2006-04-13 |
| 1326686015 | Arash Jalil | Podiatrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-12-13 |
| 1144864117 | Godfrey Ofori | Podiatrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-11-03 |
| 1467992834 | Lebanon Valley Foot and Ankle Center | Podiatrist | 840 Helen Dr, Suite 1, Lebanon, PA 17042-7456 | 2017-03-03 |
| 1316387665 | Jared Rick Malan | Podiatrist | 420 Loretto Rd, Suite 500, Lebanon, KY 40033-1628 | 2013-07-01 |
| 1861759342 | Ian M Yarger | Podiatrist | 912 Russell Dr, Lebanon, PA 17042-7485 | 2012-04-20 |
| 1447550322 | Dyane Elizabeth Tower | Podiatrist | 1 Medical Center Dr, Dhmc - Orthopedics, Podiatric Medicine, Lebanon, NH 03756-1000 | 2010-10-26 |
| 1285964353 | Jessica Marie Shaw | Podiatrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2010-01-12 |
| 1851555312 | Tyler Grout | Podiatrist | 120 Hospital Dr, Ste 100, Lebanon, MO 65536-9238 | 2008-07-14 |
| Find all providers in LEBANON | ||||
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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.