Robert E Weaver (NPI# 1285658575, PAC ID# 2365468527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1285658575 |
| PAC ID by PECOS | 2365468527 |
| Professional Enrollment ID | I20051018000630 |
| Full Name | Robert E Weaver |
| Organization Legal Name | SPECIALIZED SURGEONS LLC |
| Address |
33111 W 7 Mile Rd Livonia MI 48152-1364 |
| Phone Number | 2488888383 |
| Gender | M |
| Credential | DDS |
| Graduation Year | 1981 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 8820014129 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230029 | ST JOSEPH MERCY OAKLAND |
| Address | Phone | Organization |
|---|---|---|
| 33111 W 7 Mile Rd, Livonia, MI 48152-1364 | 2488888383 | SPECIALIZED SURGEONS LLC |
| Organization Legal Name | SPECIALIZED SURGEONS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad E Betz | Maxillofacial Surgery | Specialized Surgeons LLC | 33111 W 7 Mile Rd, Livonia, MI 48152-1364 |
| Jeffery A Mcfadden | Maxillofacial Surgery | Specialized Surgeons LLC | 33111 W 7 Mile Rd, Livonia, MI 48152-1364 |
| Street Address |
33111 W 7 MILE RD |
| City | LIVONIA |
| State | MI |
| Zip | 48152-1364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad E Betz | Maxillofacial Surgery | Specialized Surgeons LLC | 33111 W 7 Mile Rd, Livonia, MI 48152-1364 |
| Jeffery A Mcfadden | Maxillofacial Surgery | Specialized Surgeons LLC | 33111 W 7 Mile Rd, Livonia, MI 48152-1364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anil K Jain | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Mark Stacherski | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Courtney Paladino | Clinical Social Worker | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Michael L Schwartz | Diagnostic Radiology | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Maribeth Knight | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Stacy L Smith | Family Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Renee L Bayer | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Lisa Elconin | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Clint E Bernhard | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Jason M St John | Podiatry | Foot Healthcare Associates, PC | 37595 Seven Mile Rd, Suite 370, Livonia, MI 48152-1003 |
| Find all physicians in zip 48152 | |||
| City | LIVONIA |
| Zip Code | 48152 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | LIVONIA + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Robert E Weaver.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.