JACQUELINE WEAVER


Address: 2215 Burdett Ave, Troy, NY 12180-2466
Phone: 3304934443

JACQUELINE WEAVER (NPI# 1902946890) 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) 1902946890
Entity Type Individual
Full Name JACQUELINE WEAVER
Credential MD
Practice Address 2215 Burdett Ave
Troy
NY 12180-2466
Mailing Address 4535 Dressler Rd Nw
Canton
OH 44718-2545
Practice Telephone 3304934443
Mailing Telephone 3304934443
Enumeration Date 2007-02-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 237968 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 02705879 05

Other Providers JACQUELINE WEAVER

NPI Name Taxonomy Address Enumeration
1588008510 Jacqueline R Weaver Clinical Neuropsychologist 2200 Kernan Dr Ofc 1219, Baltimore, MD 21207-6665 2013-04-21
1407097702 Jacqueline Christine Weaver Chiropractor 4526 Buffalo Gap Rd, Abilene, TX 79606-2704 2009-03-16
1508347196 Jacqueline S Weaver Physical Therapy Assistant 149 Klattenhoff Ln, Hutto, TX 78634-4638 2018-08-22
1336560879 Jacqueline Weaver Nurse Practitioner 555 N Duke St, Lancaster, PA 17602-2250 2013-12-31
1538417167 Jacqueline La Barbera Weaver Registered Nurse 4600 Broadway, Sacramento, CA 95820-1527 2012-08-29
1669720637 Jacqueline Kimbell Weaver Pharmacist 1208 Homer Rd, Minden, LA 71055-3082 2012-08-26
1154510485 Jacqueline Weaver Case Manager/Care Coordinator 210 Manor St, Marion, AR 72364-1936 2007-10-23

Office Location

Street Address 2215 BURDETT AVE
City TROY
State NY
Zip Code 12180-2466

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770583619 Kakulavaram Venkat Reddy Radiology 2215 Burdett Ave, Samaritian Hospital Cancer Care Center, Troy, NY 12180-2466 2005-07-21
1356959316 Daniel Grant Pecan Nurse Practitioner 2215 Burdett Ave, Troy, NY 12180-2475 2020-07-16
1902424443 Amanda Marie Benacquisto Registered Nurse 2215 Burdett Ave, Troy, NY 12180-2466 2020-07-10
1013540855 Renee C Sanderson Physical Therapist 2215 Burdett Ave, Troy, NY 12180-2466 2020-02-20
1013540194 Jessica S Zahner Occupational Therapist 2215 Burdett Ave, Troy, NY 12180-2466 2020-02-18
1932731718 Catherine Berrian Smith Physical Therapist 2215 Burdett Ave, Troy, NY 12180-2466 2020-02-10
1053941609 Paula Jean Burnor Physical Therapist 2215 Burdett Ave, Troy, NY 12180-2466 2020-01-23
1811527724 Jennifer Musone Singer Pharmacist 2215 Burdett Ave, Troy, NY 12180-2466 2020-01-20
1700423951 Rose Anne Mason Registered Nurse 2215 Burdett Ave, Troy, NY 12180-2466 2019-12-06
1164064275 Joan Marie Killeen Registered Nurse 2215 Burdett Ave, Troy, NY 12180-2466 2019-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528616232 Gwendolyn Eve Guarino Massage Therapist Lux, 207 River St, Troy, NY 12180 2019-08-27
1568020857 Shelby Mara Quintal Counselor 7 Collins Ave, Troy, NY 12180 2019-05-31
1881179646 St. Peter's Health Partners Medical Associates, P.C. Family Medicine 2109 15th Street, Troy, NY 12180 2018-09-27
1104354315 Karen Lynm Vincent Licensed Practical Nurse 830 Hoosick Rd Apt 1, Troy, NY 12180 2017-06-01
1740728013 Upstate Physician Services, PC Specialist 2001 5th Avenue, Suite 110, Troy, NY 12180 2017-02-07
1205373263 Tsu Han Poh Pharmacist 204 Washington Street, Apt C1, Troy, NY 12180 2017-01-27
1053760546 Linda Pierre Religious Nonmedical Nursing Personnel 1680 Tibbits Ave, Troy, NY 12180 2016-06-06
1518312925 Matthew Pittelli Student in an Organized Health Care Education/Training Program 83 Lockrow Rd, Troy, NY 12180 2016-05-04
1780045765 Tara Michelle Miller Hearing Instrument Specialist 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 2016-03-17
1326410937 Seton Health System, Inc. Physician Assistant 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 2015-10-22
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639664881 Upstate Concierge Medicine Pllc Emergency Medicine 216 River St Ste 3, Troy, NY 12180-3848 2018-06-28
1831453273 Ingrid Zylinski Emergency Medicine 888 W Big Beaver Rd Suite #1450 Perspective Counseling, Troy, MI 48084 2012-06-29
1669748091 Terrence Hwakai Liang Emergency Medicine 3797 Victoria Dr, Troy, MI 48083-6307 2012-03-29
1962713750 Armenia Mountain Emergency Physicians LLC Emergency Medicine 101 Elmira St., Troy, PA 16947-1271 2010-06-25
1841336658 Michael Scott Reddington Emergency Medicine 754 Sandalwood Dr, Troy, MI 48085-1644 2007-01-29
1538232830 Melissa Fiorini Emergency Medicine 79 Vandenburgh Avenue, Troy, NY 12180 2006-11-16
1346251816 Ali Syed Taqi Emergency Medicine 6397 Denton Dr, Troy, MI 48098-2006 2006-08-10
1710995287 Stephen J Sokaris Emergency Medicine 1300 Massachusetts Avenue, Troy, NY 12180 2006-08-03
1639117534 Adolfo Robledo Emergency Medicine 1330 Highway 231 S, Troy, AL 36081-3058 2006-06-03
1821043209 Gail Moolsintong Emergency Medicine 1165 A East Cherry St, Troy, MO 63379 2006-05-23
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Competitor

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City TROY
Zip Code 12180

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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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