JENNIFER WEATHERLY, D.O. P.A (NPI# 1982614715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982614715 |
| Entity Type | Organization |
| Organization Name | JENNIFER WEATHERLY, D.O. P.A |
| Other Organization Name | GRANDVIEW MEDICAL CENTER |
| Practice Address |
3250 W Pleasant Run Rd Ste 160 Lancaster TX 75146-1071 |
| Practice Telephone | 9722745200 |
| Practice Fax Number | 9722745217 |
| Mailing Telephone | 9722745200 |
| Mailing Fax Number | 9722745217 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-02-10 |
| Authorized Official Name | JENNIFER ANDREA WEATHERLY (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9722745200 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0076KT | 01 |
| Other Name | Type Code |
|---|---|
| Grandview Medical Center | Other Name - Individual/Organization |
| Street Address |
3250 W PLEASANT RUN RD STE 160 |
| City | LANCASTER |
| State | TX |
| Zip Code | 75146-1071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588115455 | Jennifer Weatherly D.o.p.a. | Physician Assistant | 3250 W Pleasant Run Rd Ste 160, Lancaster, TX 75146-1071 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801392188 | Otha Watson | Home Health | 3003 Driftwood Ln, Lancaster, TX 75146 | 2018-04-04 |
| 1295278208 | Habibat Addulkarim Audu | Licensed Vocational Nurse | 1211 Westridge Avenue, 202, Lancaster, TX 75146 | 2016-11-22 |
| 1154772457 | Dion Leathers | Physician Assistant | 439 Francis St, Lancaster, TX 75146 | 2016-06-28 |
| 1205287828 | Elisha Chapman | Specialist/Technologist, Other | 415 S Dallas Ave, Lancaster, TX 75146 | 2016-06-24 |
| 1205224862 | Bestin Abraham | Pharmacist | 350 N. Bluegrove Rd, Lancaster, TX 75146 | 2015-01-06 |
| 1134525751 | Shekina Barber | Counselor | 2810 Saint Croix Ave, Lancaster, TX 75146 | 2014-11-10 |
| 1306276910 | Elisia Beck | Chore Provider | 585 Rolling Hills Pl., #321, Lancaster, TX 75146 | 2013-11-18 |
| 1639443146 | Angela D Nowell | Nurse Practitioner | 2700 West Pleasant Run Road, Suite 300, Lancaster, TX 75146 | 2012-03-01 |
| 1003196510 | Callie House | Residential Treatment Facility, Physical Disabilities | 913 Francis St., Lancaster, TX 75146 | 2011-08-29 |
| 1851602882 | Leo Davis | Dentist | 1370 W Beltline Rd, Ste 100, Lancaster, TX 75146 | 2010-06-24 |
| Find all providers in zip 75146 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1477174027 | Omnis Medical Group | Family Medicine | 401 North Ewing Street, Lancaster, OH 43130 | 2020-05-05 |
| 1134765456 | Lancaster General Medical Group | Family Medicine | 100 N Queen St Ste 200, Lancaster, PA 17603-3550 | 2019-11-21 |
| 1578116927 | Pamela Joann Jacobs | Family Medicine | 77 Westwood Rd, Lancaster, NY 14086-9522 | 2019-07-23 |
| 1730642786 | Covenantmd, LLC | Family Medicine | 930 Red Rose Ct Ste 104, Lancaster, PA 17601-1981 | 2019-04-08 |
| 1720542244 | Bryan C Benefiel, M.d. Inc. | Family Medicine | 44725 10th St W Ste 290, Lancaster, CA 93534-3049 | 2019-01-29 |
| 1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
| 1689167751 | Jacqueline Palmer | Family Medicine | 45465 25th St E Spc 168, Lancaster, CA 93535-2392 | 2018-06-12 |
| 1154851384 | Pinnacle Health Regional Physicians | Family Medicine | 250 College Ave Ste 300, Lancaster, PA 17603-3363 | 2017-06-20 |
| Find all providers in LANCASTER | ||||
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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.