Active NPIIndividual provider

Dr. Micaela Weaver, DO

Surgery, Surgical Oncology in Providence, Rhode Island

NPI Number1992111884
Practice location
1 Blackstone Street, 2ND Floor, Providence, RI 02903
Fax
—
Last updated
June 25, 2021

Micaela Weaver is a Surgery, Surgical Oncology based in Providence, RI. Micaela Weaver practices in Providence, RI and has the professional credentials of DO. The NPI Number for Micaela Weaver is 1992111884 and holds a License No. DO00965 (RI). The current practice location address for Micaela Weaver is 1 Blackstone Street, 2ND Floor, Providence, RI 02903 and can be reached out via phone at 401-453-7520.

Provider Profile Details

NPI Number
1992111884
Provider Name
Micaela Weaver
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1 Blackstone Street, 2ND Floor, Providence, RI 02903
Phone Number
401-453-7520
Primary Taxonomy
Surgery, Surgical Oncology · 2086X0206X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2014
Last Update Date
June 25, 2021
Certification Date
May 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Blackstone Street
2ND Floor
Providence, RI 02903
Zip
02903
Phone Number
401-453-7520
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
1 Blackstone Pl
Providence, RI 02903-4942
City
Providence
State
RI
Zip
02903-4942
Phone Number
401-453-7540

License Information

License Number (1)
DO00965
License State (1)
RI
Taxonomy (1)
Surgery · 208600000X
License Number (2)
285738
License State (2)
MA
Taxonomy (2)
Surgery, Surgical Oncology · 2086X0206X
License State (3)
NY
License Number (4)
DO00965
License State (4)
RI
Taxonomy (4)
Surgery, Surgical Oncology · 2086X0206X · 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. Micaela Weaver, DO?

The NPI number of Dr. Micaela Weaver, DO is 1992111884. It was assigned on July 11, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Micaela Weaver, DO?

Dr. Micaela Weaver, DO is registered under the primary taxonomy Surgery, Surgical Oncology (code 2086X0206X), licensed in RI under license number DO00965.

Where does Dr. Micaela Weaver, DO practice?

The practice location is 1 Blackstone Street, 2ND Floor, Providence, RI 02903. The office can be reached at 401-453-7520 (phone).

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 1992111884 directly on the NPPES registry website.

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