MICAH LORENZ WEIR


Address: 120 Cricket Ln, North Andover, MA 01845-4837
Phone: 8173210404

MICAH LORENZ WEIR (NPI# 1235187022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235187022
Entity Type Individual
Full Name MICAH LORENZ WEIR
Other Name LORI MICHELLE WEIR
Credential MD
Practice Address 120 Cricket Ln
North Andover
MA 01845-4837
Mailing Address 816 W Cannon St
Fort Worth
TX 76104-3146
Practice Telephone 8173210404
Practice Fax Number 4695226889
Mailing Telephone 8173210404
Mailing Fax Number 4695226889
Enumeration Date 2006-05-04
Last Update Date 2019-03-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
M2191 TX Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
M2191 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA CAQH 11181013 01

Office Location

Street Address 120 CRICKET LN
City NORTH ANDOVER
State MA
Zip Code 01845-4837

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528202959 Timothy J Norton Radiology 28 Hidden Ct, North Andover, MA 01845-2141 2009-04-29
1730115080 Us Radiology Partners of Texas Inc Radiology 258 Rea Street, North Andover, MA 01845 2006-06-25
1043264104 Kenneth R Peelle Radiology 185 Great Pond Rd, North Andover, MA 01845-3026 2006-05-20
1518932201 Mark Sateriale Radiology 258 Rea St, North Andover, MA 01845-4813 2006-02-17
1275515140 General Health Services, Inc. Radiology 477 Bear Hill Rd, North Andover, MA 01845-2116 2005-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821604570 Yarab Mubarak Habib Al Bulushi Radiology 330 Brookline Ave Dept of Radiology, Boston, MA 02215-5400 2020-09-18
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1417507740 Daniel Andres Vargas Zapata Radiology 330 Brookline Ave # Es-215, Boston, MA 02215-5491 2019-09-18
1386129468 Keri Susan Bouthiller Radiology 9 Stevens St, Stoneham, MA 02180-1806 2018-09-25
1851870992 Robert Kevin Moreland Radiology 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 2018-08-09
1790270239 Rahul Gujrathi Radiology 450 Brookline Ave Dana-farber Cancer Institute, Department of Imaging Dl-198, Boston, MA 02215 2018-06-27
1083104434 Edgar Leonardo Martinez-salazar Radiology 20 Michigan Ave, Somerville, MA 02145-2228 2018-05-11
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1700381282 Casey Keith Bishop Radiology 820 Harrison Ave Dept Of, Boston, MA 02118-2905 2018-03-27
1922517713 Arwa Alzaghal Radiology Department of Radiology, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115 2017-09-25
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Competitor

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City NORTH ANDOVER
Zip Code 01845

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Dataset Information

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.

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