MR. TYLER NATHAN WEAVER (NPI# 1265943880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265943880 |
| Entity Type | Individual |
| Full Name | MR. TYLER NATHAN WEAVER |
| Credential | CNP |
| Practice Address |
3400 Olentangy River Rd Columbus OH 43202-1523 |
| Practice Telephone | 6147545500 |
| Practice Fax Number | 6144579519 |
| Mailing Telephone | 6147545500 |
| Mailing Fax Number | 6144579519 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2018-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.402950 | OH | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN.CNP.022337 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 14125201 | 01 | |
| OH | 0264322 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Logan Ave, Westerville, OH 430811565 | 2692080210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326467812 | Tyler Scott Weaver | Otolaryngology | 1508 Division St Ste 115, Oregon City, OR 97045-1584 | 2014-04-10 |
| 1174816193 | Tyler Grant Weaver | Internal Medicine | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2011-05-24 |
| Street Address |
3400 OLENTANGY RIVER RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43202-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091594 | Michael Dale Brogan | Internal Medicine | 3400 Olentangy River Rd, Columbus, OH 43202-1576 | 2005-08-29 |
| 1902419930 | Antoniya Borislavova Robinson | Nurse Practitioner | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2020-08-28 |
| 1831721257 | Stephanie Joy Melton | Nurse Practitioner | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2020-02-05 |
| 1104392281 | Iryna V Miller | Neurological Surgery | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2018-10-16 |
| 1902275787 | Shannon A Grime | Registered Nurse | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2015-09-22 |
| 1003220187 | Central Ohio Endoscopy Center, LLC | Clinic/Center | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2014-06-17 |
| 1265859243 | Patrick Chen | Internal Medicine | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2014-03-27 |
| 1760808596 | Amanda Rae Gayetsky | Physician Assistant | 3400 Olentangy River Rd, Columbus, OH 43202-1576 | 2014-03-18 |
| 1417397704 | Kori Nicole Devoll | Registered Nurse | 3400 Olentangy River Rd, Columbus, OH 43202-1576 | 2013-07-01 |
| 1982944823 | Shanti P Reddy | Physician Assistant | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2013-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391730 | Dominic Clouse | Pharmacist | Jameson Crane Sports Medicine Institute Pharmacy, 2835 Fred Taylor Drive, Columbus, OH 43202 | 2020-06-24 |
| 1609353218 | Attache Home Care, LLC | Home Health | 10 E. Weber Rd., Suite 202, Columbus, OH 43202 | 2018-07-26 |
| 1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
| 1578954764 | Andrew Burrows | Home Health Aide | 2564 Deming Ave, Columbus, OH 43202 | 2015-02-10 |
| 1245525559 | Kathryn Anne Richardson | Specialist/Technologist | 3430 Ohiohealth Parkway, Columbus, OH 43202 | 2011-06-15 |
| 1760777395 | Erin Vance | Pharmacist | 3430 Ohiohealth Pkwy, Columbus, OH 43202 | 2011-06-11 |
| 1588974083 | Cdi Long Term Care LLC | Pharmacy | 11 W Duncan St., Columbus, OH 43202 | 2010-10-18 |
| 1679880082 | Betty Jean Howard | Counselor | 42 Tompkins Avenue, Columbus, OH 43202 | 2010-09-07 |
| 1265657134 | Christina T. Liscynesky | Internal Medicine | 700 Ackerman Road, Suite 385, Columbus, OH 43202 | 2007-04-16 |
| 1275647364 | Lynne V. Abruzzo | Pathology | 680 Ackerman Rd, Room D423, Columbus, OH 43202 | 2006-08-18 |
| Find all providers in zip 43202 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
| 1548812159 | Holly Penix | Nurse Practitioner | 223 Bluewing Ct, Columbus, OH 43235-1490 | 2019-07-13 |
| 1558840496 | Sheila Parker Strickland | Nurse Practitioner | 7413 Whitesville Rd Ste 700, Columbus, GA 31904-3230 | 2018-08-11 |
| 1669992822 | Susan Lee Mcfall | Nurse Practitioner | 1258 Grandview Ave Ste A, Columbus, OH 43212-3469 | 2017-06-20 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1285095802 | Laura Aumiller | Nurse Practitioner | 842 Grandview Ave, Columbus, OH 43215-1124 | 2016-03-09 |
| 1457741498 | Roshann Palmer | Nurse Practitioner | 5151 Reed Rd Ste 205, Columbus, OH 43220-2553 | 2015-01-29 |
| 1548650617 | Katherine Marie Wallace | Nurse Practitioner | 118 Enterprise Ct Ste B, Columbus, GA 31904-9228 | 2015-01-28 |
| 1144637299 | Jody Anne Howell | Nurse Practitioner | 1391 W 5th Ave, Suite 260, Columbus, OH 43212-2902 | 2014-07-21 |
| 1538589536 | Courtney Dubois Shihabuddin | Nurse Practitioner | 750 E Long St Ste 3000, Columbus, OH 43203-1874 | 2014-04-17 |
| Find all providers in COLUMBUS | ||||
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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.