DR. SUSAN T WEAVER


Address: 3024 New Bern Ave Ste 300, Raleigh, NC 27610-1247
Phone: 9193508228

DR. SUSAN T WEAVER (NPI# 1649324914) 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) 1649324914
Entity Type Individual
Full Name DR. SUSAN T WEAVER
Credential M.D.
Practice Address 3024 New Bern Ave Ste 300
Raleigh
NC 27610-1247
Practice Telephone 9193508228
Practice Fax Number 9193507976
Mailing Telephone 9193508228
Mailing Fax Number 9193507976
Enumeration Date 2007-01-23
Last Update Date 2009-02-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 9901 076 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC MEDICAL LICENSE NUMBER 9901 076 01

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1588713382 Susan Lyn Weaver Social Worker 471 W South St, Ste. 41c, Kalamazoo, MI 49007-4678 2007-01-09
1073569273 Susan B Weaver Internal Medicine 1611 Cambridge St, Internal Medicine, Cambridge, MA 02138-4302 2006-05-26

Office Location

Street Address 3024 NEW BERN AVE STE 300
City RALEIGH
State NC
Zip Code 27610-1247

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1851958839 Alex & Associates, P.C. Dentist 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 2019-05-24
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

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1255825840 Frederick Joseph Derosier Internal Medicine 1065 Tacketts Pond Dr, Raleigh, NC 27614-7887 2018-06-18
1023518412 Neijia Grissom Internal Medicine 3214 Charles B Root Wynd Ste 213, Raleigh, NC 27612-5440 2018-02-13
1326406703 Andrew Ubert Schindzielorz Internal Medicine 5300 Huntingwood Dr, Raleigh, NC 27606-9642 2016-02-01
1841680220 Oswald H Ganley Internal Medicine 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 2015-01-23
1659775831 Caremore Health Nc, PC Internal Medicine 1100 N Raleigh Blvd, Raleigh, NC 27610-1076 2014-10-16
1295147577 Courtney Barrett Internal Medicine 6729 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-5383 2014-05-21
1821357815 Vanitha Gopal Internal Medicine 370 Allister Dr Unit 406, Raleigh, NC 27609-7269 2012-05-10
1093072498 The Carter Clinic,pa Internal Medicine 183 Wind Chime Ct Ste 100, Raleigh, NC 27615-6574 2012-04-23
1497025076 George Stueard Nettles Sr. Internal Medicine 11192 Bayberry Hills Dr, Raleigh, NC 27617-7908 2012-01-12
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Competitor

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City RALEIGH
Zip Code 27610

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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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