MARY J WEIR (NPI# 1861689200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861689200 |
| Entity Type | Individual |
| Full Name | MARY J WEIR |
| Credential | PA-C |
| Practice Address |
4000 14th Street 408 Riverside CA 92501-4010 |
| Practice Telephone | 9517882224 |
| Practice Fax Number | 9517885190 |
| Mailing Telephone | 9517882224 |
| Mailing Fax Number | 9517885190 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA17711 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841693454 | Mary K Weir | Dietitian, Registered | 1218 Gerrads Cross, Webster, NY 14580-9151 | 2014-09-28 |
| 1508322355 | Mary Annelise Weir | Physical Therapist | 25 Massachusetts Ave Nw Ste C500, Washington, DC 20001-1430 | 2019-02-18 |
| 1477007821 | Mary Weir | Physical Therapy Assistant | 3750 Peachtree Rd Ne, Atlanta, GA 30319-1322 | 2016-08-14 |
| 1598048951 | Mary Cassandra Weir | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2011-09-22 |
| Street Address |
4000 14TH STREET 408 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699844613 | Riverside Radiology Medical Group Inc | Radiology | 4000 14th Street, Suite 109, Riverside, CA 92501-4083 | 2006-11-06 |
| 1770855983 | Eugene W. Albright, M.d., Inc. | Obstetrics & Gynecology | 4000 14th Street, Suite #314, Riverside, CA 92501-4018 | 2012-02-02 |
| 1225316466 | Fidelito Boado Agcaoili | Physician Assistant | 4000 14th Street, Ste. 208, Riverside, CA 92501-4136 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487136123 | Amy Cortez | Physician Assistant | 3838 Sherman Dr Ste 203, Riverside, CA 92503-4060 | 2018-08-29 |
| 1003265117 | Travis William Cruz | Physician Assistant | 9525 Los Amigos Court, Riverside, CA 92508 | 2016-06-09 |
| 1619325875 | Johnny Morales | Physician Assistant | 9065 Limecrest Dr, Riverside, CA 92508-6418 | 2016-05-28 |
| 1003273707 | Kevin Morris | Physician Assistant | 7101 Magnolia Ave Ste A, Riverside, CA 92504-3843 | 2016-01-26 |
| 1386014132 | Tariq Parwani | Physician Assistant | 7450 Northrop Dr, #261, Riverside, CA 92508-5002 | 2015-10-05 |
| 1962808477 | Erika Lee Amthor | Physician Assistant | 7095 Indiana Ave Ste 210, Riverside, CA 92506-4159 | 2014-11-11 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1831505080 | Samantha Miller | Physician Assistant | 4646 Brockton Ave Ste 101, Riverside, CA 92506-0103 | 2014-07-09 |
| 1679870695 | Maria E. Lopez | Physician Assistant | 6200 Van Buren Blvd, Riverside, CA 92503-2098 | 2011-02-28 |
| 1811207632 | Bekele T Haimanot | Physician Assistant | 9528 Los Coches Court, Riverside, CA 92508 | 2010-10-14 |
| Find all providers in RIVERSIDE | ||||
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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.