JASON M. WEAVER, MD, PA (NPI# 1043363666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043363666 |
| Entity Type | Organization |
| Organization Name | JASON M. WEAVER, MD, PA |
| Practice Address |
1602 Rock Prairie Rd Suite 3400 College Station TX 77845-8306 |
| Practice Telephone | 4099391618 |
| Mailing Telephone | 9795757435 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-04-08 |
| Authorized Official Name | DR. JASON MICHAEL WEAVER (PRESIDENT) |
| Authorized Official Telephone | 9795757435 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
TX | Allopathic & Osteopathic Physicians | |
| Y | 207N00000X | Dermatology | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1602 ROCK PRAIRIE RD SUITE 3400 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136938 | Randy Wallace Smith | Obstetrics & Gynecology | 1602 Rock Prairie Rd, #430, College Station, TX 77845-8306 | 2005-07-07 |
| 1104392505 | Elizabeth Jane Riley | Nurse Practitioner | 1602 Rock Prairie Rd, College Station, TX 77845-8306 | 2018-10-23 |
| 1871029322 | Katie Hepfer | Nurse Practitioner | 1602 Rock Prairie Rd, Suite 300, College Station, TX 77845-8306 | 2017-05-03 |
| 1508226234 | A.shanmugam M.d | Internal Medicine | 1602 Rock Prairie Rd, Suite 210, College Station, TX 77845-8306 | 2016-02-23 |
| 1851735849 | Caitlin Sears | Physician Assistant | 1602 Rock Prairie Rd, Suite 3400, College Station, TX 77845-8306 | 2013-04-22 |
| 1396084380 | Bcs Allergy & Asthma | Allergy & Immunology | 1602 Rock Prairie Rd, Ste 270, College Station, TX 77845-8306 | 2013-02-11 |
| 1770844664 | Bryan College Station Prosthetics Inc | Prosthetic/Orthotic Supplier | 1602 Rock Prairie Rd, Suite 150, College Station, TX 77845-8306 | 2012-06-06 |
| 1407163660 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #230, College Station, TX 77845-8308 | 2010-09-09 |
| 1043527476 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #1100, College Station, TX 77845-8306 | 2010-09-07 |
| 1598090599 | Iyabode Ogunlade, Md Pa | Specialist | 1602 Rock Prairie Rd, Ste 3000, College Station, TX 77845-8306 | 2009-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477669166 | Rachel Ruth Lewis Moore | Dermatology | 1700 University Dr. E., College Station, TX 77840 | 2006-08-22 |
| 1104183425 | Emily Gay Little Stewart | Dermatology | 1700 University Dr E, College Station, TX 77840-2661 | 2012-04-12 |
| 1023150083 | James Neumann Childs | Dermatology | 1605 Rock Prairie Rd, Ste 312, College Station, TX 77845-8358 | 2007-02-13 |
| 1447399944 | James N Childs, M.d., P.a. | Dermatology | 1605 Rock Prairie Rd, Ste 312, College Station, TX 77845-8358 | 2007-02-05 |
| 1750420246 | Maria Veitschegger Childs | Dermatology | 1605 Rock Prairie Rd, Ste 312, College Station, TX 77845-8358 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 1366057861 | Young E Martin | Dermatology | 910 W Parker Rd Ste 210, Plano, TX 75075-2361 | 2020-09-11 |
| 1700498136 | Optimal Health and Skin LLC | Dermatology | 4701 Old Shepard Pl Ste 260, Plano, TX 75093-5250 | 2020-08-18 |
| 1962023077 | Bluebonnet Dermatology, Pllc | Dermatology | 935 W Exchange Parkway, Building B, Suite 130, Allen, TX 75013-7075 | 2020-04-29 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1558904953 | Lorin Brittney Anderson | Dermatology | 5928 Chisholm Trl, Mckinney, TX 75070-6464 | 2019-10-18 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
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| City | COLLEGE STATION |
| Zip Code | 77845 |
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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.