JERE H WEAVER


Address: 722 Bank St Ne, Decatur, AL 35601-1610
Phone: 2563511874

JERE H WEAVER (NPI# 1265436067) 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) 1265436067
Entity Type Individual
Full Name JERE H WEAVER
Credential M.D.
Practice Address 722 Bank St Ne
Decatur
AL 35601-1610
Practice Telephone 2563511874
Practice Fax Number 2563511876
Mailing Telephone 2563511874
Mailing Fax Number 2563511876
Enumeration Date 2005-06-09
Last Update Date 2013-09-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 11631 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL UNITED HEALTH 01-12771 01
AL 009912888 05
AL MEDICARE RAILROAD RETIREE 010050478 01
AL BCBS 515-97711 01
AL AETNA PROVIDER NUMBER 4585899 01
AL BLUE CROSS PROVIDER NUMBE 51025264 01

Office Location

Street Address 722 BANK ST NE
City DECATUR
State AL
Zip Code 35601-1610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851573778 Jere H. Weaver Dermatology 722 Bank St Ne, Decatur, AL 35601-1610 2007-12-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376000679 Monica Dawn Ross Counselor 106 Lee St. Ne, Suite C, Decatur, AL 35601 2019-02-23
1063950319 Samantha Elizabeth Pickett Nurse Practitioner 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 2017-02-07
1497208250 Beronica Goodwin Home Health Aide 1102b Suite #2 4th Ave Se, Decatur, AL 35601 2016-07-28
1770957177 Xochitl Dupre Obstetrics & Gynecology 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 2015-11-23
1104224708 River City Psychiatry, Inc. Community/Behavioral Health 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 2014-12-12
1760882690 Derrick Aaron Randolph Registered Nurse 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 2014-08-28
1427465434 Martha Read Family Medicine 2208 Danville Rd Sw Ste A, Decatur, AL 35601 2014-07-22
1205242948 Pure Heart Home Care of Alabama, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 107 B 14th Street Sw, Decatur, AL 35601 2014-07-02
1720492242 Christopher John Phillips Emergency Medicine 1201 7th Street Se, Decatur, AL 35601 2014-06-12
1366794711 Complete Dental Decatur LLC Dentist 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 2012-10-10
Find all providers in zip 35601

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164919403 Dermdoc Atlanta Dermatology 4150 Snapfinger Woods Dr Ste 210, Decatur, GA 30035-3417 2018-04-20
1548649387 Lakenya Odom Dermatology 18004 Anwar Trl, Decatur, GA 30032-7414 2015-05-26
1396916219 Kathleen Jeanne Smith Dermatology 1670 Scott Blvd Ste 202, Decatur, GA 30033-5645 2008-03-19
1467574343 Novie Sroa Dermatology 2000 Ben Merritt Dr Ste B, Decatur, TX 76234-3848 2007-04-04
1942247150 Samantha S Wyatt Dermatology 620 Walnut St Ne, Suite A, Decatur, AL 35601-2456 2006-05-31
1649237363 Joseph Thomas Backe Dermatology 1203 Medical Dr Se, Decatur, AL 35601 2006-04-27
1972588648 James L Reeder Sr. Dermatology 1310 Somerville Rd Se, Decatur, AL 35601-4317 2005-12-14
1396735114 Francis Chaepoong Lee Dermatology 606 W Pershing Rd, Suite E, Decatur, IL 62526-1633 2005-10-24
1710450838 Dermdoc Atlanta, LLC. Dermatology 4150 Snapfinger Woods Dr Ste 210, Decatur, GA 30035-3417 2019-01-11
1700369717 Dermatology Solutions Pllc Dermatology 609 Medical Center Dr, Decatur, TX 76234-3836 2018-09-14
Find all providers in DECATUR

Competitor

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City DECATUR
Zip Code 35601

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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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