JACQUELINE WEAVER (NPI# 1902946890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 237968 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02705879 | 05 |
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 |
Street Address |
2215 BURDETT AVE |
City | TROY |
State | NY |
Zip Code | 12180-2466 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 12180 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
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. |
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 |
Find all providers in TROY |
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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.