MARY ANN WEAVER


Address: 5224 S State Highway 360, Grand Prairie, TX 75052-0950
Phone: 9725220691

MARY ANN WEAVER (NPI# 1265795595) 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) 1265795595
Entity Type Individual
Full Name MARY ANN WEAVER
Credential MD
Practice Address 5224 S State Highway 360
Grand Prairie
TX 75052-0950
Practice Telephone 9725220691
Practice Fax Number 9725221053
Mailing Telephone 9725220691
Mailing Fax Number 9725221053
Enumeration Date 2012-06-21
Last Update Date 2015-12-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine P7724 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUECROSS 8EZ418 01

Other Providers MARY WEAVER

NPI Name Taxonomy Address Enumeration
1790255149 Mary Judith Weaver Speech-Language Pathologist 1716 Grey Friars Chase, Virginia Beach, VA 23456-5435 2018-11-28
1447653167 Mary Elizabeth Weaver Licensed Practical Nurse 802 Hwy 119 S, Springfield, GA 31329 2014-10-08
1932378759 Mary Lou Weaver Massage Therapist 10726 59th Ave N, Seminole, FL 33772-7305 2008-02-26
1568441822 Mary E Weaver Nurse Practitioner 650 Newtown Pk, Lexington Fayette Co Health Dept, Lexington, KY 40508 2006-01-13
1740261247 Mary Baker Weaver Licensed Practical Nurse Bldg 1075 Stephenson Ave Ft. Monmouth, Eatontown, NJ 07703 2005-11-10
1487654729 Mary Weaver Nurse Practitioner 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 2005-07-28
1194367516 Mary Weaver Community Health Worker 104 S Front Ave, Prestonsburg, KY 41653-1614 2019-10-17
1750850533 Mary Catherine Weaver Counselor 104 E Biddle St, Baltimore, MD 21202-2755 2018-11-21
1194151480 Mary Theresa Weaver Physical Therapist 475 Irvin Ct, Decatur, GA 30030-1717 2013-09-19
1801196183 Mary Jean Weaver Pharmacist 6030 Stetson Hills Blvd, Colorado Springs, CO 80923-3562 2010-11-02

Office Location

Street Address 5224 S STATE HIGHWAY 360
City GRAND PRAIRIE
State TX
Zip Code 75052-0950

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356316772 Gerald G George Family Medicine 5224 S State Highway 360, Ste#230, Grand Prairie, TX 75052-0950 2006-02-20
1003100173 Misi, Pa Specialist 5224 S State Highway 360, Suite 230, Grand Prairie, TX 75052-0950 2011-06-06
1356559231 Clear Vision Eyecare Pllc. Optometrist 5224 S State Highway 360, Ste. 200, Grand Prairie, TX 75052-0950 2007-05-21
1861604225 Brandy Rochelle Robinson Family Medicine 5224 S State Highway 360, Suite 230, Grand Prairie, TX 75052-0950 2007-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487265542 Beyond Home Health Care LLC Registered Nurse 3531 Pecos Way, Grand Prairie, TX 75052 2020-08-12
1497370332 Michael Cooper Dentist 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 2020-06-16
1043835788 Amanda Azubike Licensed Practical Nurse 4593 Mt Laurel Dr, Grand Prairie, TX 75052 2020-06-09
1457992844 Epic West Family Dnetistry Pllc Dentist 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 2019-10-07
1033777487 National Vision Inc Optometrist 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 2019-05-31
1689136624 Raushanah Taherrah Shareef-jefferson Dental Hygienist 831 Ridgecrest Rd, Grand Prairie, TX 75052 2019-04-01
1053812552 Dfw Better Care Physicians, Pllc Clinic/Center 5204 Tx 360 #400, Grand Prairie, TX 75052 2018-02-21
1629586797 Grand Prairie Marvel Dental Pllc Clinic/Center 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 2018-01-11
1033626221 Thad Taylor Iv Dds Dentist 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 2018-01-09
1902312796 Real Dental Pllc Dentist 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 2017-12-16
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427673375 Imd Healthcare Association, Inc. Family Medicine 5857 Tory Dr, Grand Prairie, TX 75052-8500 2020-06-16
1134686926 Grand Prairie Physician Group LLC Family Medicine 517 N Carrier Pkwy Ste J, Grand Prairie, TX 75050-5484 2019-02-27
1922533322 Kelly Walthius Family Medicine 2740 N State Highway 360 Ste 100, Grand Prairie, TX 75050-6402 2017-04-24
1699158964 Gp Medical Management Group Inc Family Medicine 2634 S Carrier Pkwy Ste 105, Grand Prairie, TX 75052-5005 2015-07-06
1407237316 Bethany Wimberly Family Medicine 3095 Kingswood Blvd Ste 250, Grand Prairie, TX 75052 2015-06-16
1285047514 Shaun Gould Family Medicine 2740 N Hwy 360 Ste 100, Grand Prairie, TX 75050-6402 2014-06-04
1841543097 Omni Pain Clinic Inc Family Medicine 513 W Jefferson Blvd., Suite 170, Grand Prairie, TX 75051-1639 2012-10-24
1013238401 Ahmad Ghassan Abazid Family Medicine 4927 Lake Ridge Pkwy Ste 100, Grand Prairie, TX 75052 2010-06-20
1912157819 Cynthia Denise Mckinney Family Medicine 2520 W Interstate 20, Grand Prairie, TX 75052-7280 2008-09-26
1164697850 Crystal Renee Foster Family Medicine 4927 Lakeridge Pkwy, Suite 100, Grand Prairie, TX 75052-3087 2008-04-24
Find all providers in GRAND PRAIRIE

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City GRAND PRAIRIE
Zip Code 75052

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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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