Active NPIIndividual provider

Dr. Michael J Weaver, MD

Family Medicine in Wakefield, Rhode Island

NPI Number1215995097
Practice location
553 Kingstown RD, Wakefield, RI 02879-3600
Fax
401-284-0625
Last updated
August 28, 2019

Michael James Weaver is a Family Medicine based in Wakefield, RI. Michael James Weaver practices in Wakefield, RI and has the professional credentials of MD. The NPI Number for Michael James Weaver is 1215995097 and holds a License No. 05003 (RI). The current practice location address for Michael James Weaver is 553 Kingstown RD, Wakefield, RI 02879-3600 and can be reached out via phone at 401-304-9111 and via fax at 401-284-0625.

Provider Profile Details

NPI Number
1215995097
Provider Name
Michael James Weaver
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
553 Kingstown RD, Wakefield, RI 02879-3600
Phone Number
401-304-9111
Fax Number
401-284-0625
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
May 2, 2006
Last Update Date
August 28, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
553 Kingstown RD
Wakefield, RI 02879-3600
Zip
02879-3600
Phone Number
401-304-9111
Fax Number
401-284-0625
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
553 Kingstown RD
Wakefield, RI 02879-3600
City
Wakefield
State
RI
Zip
02879-3600
Phone Number
401-304-9111
Fax Number
401-284-0625

License Information

License Number (1)
05003
License State (1)
RI
Taxonomy (1)
Surgery · 208600000X
License Number (2)
5003
License State (2)
RI
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael J Weaver, MD?

The NPI number of Dr. Michael J Weaver, MD is 1215995097. It was assigned on May 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael J Weaver, MD?

Dr. Michael J Weaver, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number 05003.

Where does Dr. Michael J Weaver, MD practice?

The practice location is 553 Kingstown RD, Wakefield, RI 02879-3600. The office can be reached at 401-304-9111 (phone) or 401-284-0625 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215995097 directly on the NPPES registry website.

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