DR. KEITH ANDREW WEAVER (NPI# 1265652317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265652317 |
| Entity Type | Individual |
| Full Name | DR. KEITH ANDREW WEAVER |
| Credential | DO |
| Practice Address |
1013 Executive Dr Suite 101 Hixson TN 37343-7912 |
| Practice Telephone | 4238752538 |
| Practice Fax Number | 4238752539 |
| Mailing Telephone | 4238752538 |
| Mailing Fax Number | 4238752539 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2076 | TN | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 2076 | TN | Allopathic & Osteopathic Physicians |
| N | 202C00000X | Independent Medical Examiner | 0102201853 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1519501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053878975 | Keith Weaver | Social Worker | 314 W 1700 S, Orem, UT 84058-7542 | 2019-02-27 |
| 1629007968 | Keith W Weaver | Orthopaedic Surgery | 924 Fulton Ave Sw, Birmingham, AL 35211-1229 | 2006-06-30 |
| Street Address |
1013 EXECUTIVE DR SUITE 101 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-7912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215949904 | William Franklin Johnson | Dentist | 1013 Executive Dr, Suite 103, Hixson, TN 37343-7912 | 2006-08-12 |
| 1497041180 | Brandy L Biederman | Nurse Practitioner | 1013 Executive Dr, Hixson, TN 37343-7912 | 2011-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 1740807601 | The Point Surgical Pllc | General Practice | 1636 Madison St Ste C, Clarksville, TN 37043-4934 | 2020-06-26 |
| 1235754094 | Wound Pros Tennessee | General Practice | 3102 West End Avenue, Suite 400, Nashville, TN 37203-1623 | 2020-06-08 |
| 1528681194 | Lt360 Health Center P.a. | General Practice | 522 Brandies Cir Ste 2-b, Murfreesboro, TN 37128-7687 | 2020-05-18 |
| 1982243093 | The Franklin Clinic, LLC | General Practice | 1311 W Main St # 7, Franklin, TN 37064-3300 | 2020-01-06 |
| 1992342307 | Tennessee Spine Wellness & Medical Group LLC | General Practice | 470 Collier Dr, Sevierville, TN 37862-6931 | 2019-12-04 |
| 1952953648 | Balanced Medical Center Pllc | General Practice | 501 W Oakland Ave Ste 3, Johnson City, TN 37604-1667 | 2019-07-12 |
| 1326511676 | All About Health Medical, Pllc | General Practice | 2759 Highway 31 W Ste 2, White House, TN 37188-5246 | 2019-01-09 |
| 1912481870 | Kendall Elizabeth Bush | General Practice | 2416 21st Ave S Ste 101, Nashville, TN 37212-5310 | 2018-09-18 |
| 1891202941 | One To One Health | General Practice | 1413 Mccallie Ave, Chattanooga, TN 37404-2936 | 2018-01-10 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| Find all providers with the same taxonomy | ||||
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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.