DR. GERALD EDWARD WEAVER (NPI# 1952333221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952333221 |
| Entity Type | Individual |
| Full Name | DR. GERALD EDWARD WEAVER |
| Credential | MD |
| Practice Address |
176 1st Ave N Ilwaco WA 98624-9137 |
| Mailing Address |
176 1st Ave N Ocean Beach Medical Clinic Ilwaco WA 98624-9137 |
| Practice Telephone | 3606423747 |
| Practice Fax Number | 3606423361 |
| Mailing Telephone | 3606423747 |
| Mailing Fax Number | 3606423361 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD60398142 | WA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 5731A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1952333221 | 05 | |
| WA | GROUP MC PTAN G000802400 | G000802400 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700974433 | Gerald Kent Weaver | Dentist | 1584 Kingsley Avenue, Suite 1, Orange Park, FL 32073-4502 | 2006-10-10 |
| Street Address |
176 1ST AVE N |
| City | ILWACO |
| State | WA |
| Zip Code | 98624-9137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558356055 | Steven L Bellinger | Physician Assistant | 176 1st Ave N, Ilwaco, WA 98624-0319 | 2005-09-12 |
| 1255953485 | Brianna Angelina Ayers | Nurse Practitioner | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2020-05-11 |
| 1376172775 | Kyle Shafer | Physician Assistant | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2020-04-07 |
| 1114339389 | Shannon M Marsh | Clinical Nurse Specialist | 176 1st Ave N, Po Box N, Ilwaco, WA 98624-9137 | 2014-05-22 |
| 1043534142 | Tracy Renee Ramos | Specialist/Technologist, Other | 176 1st Ave N, Ilwaco, WA 98624 | 2010-03-17 |
| 1720260441 | Ivan Pe Law | Internal Medicine | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2007-12-04 |
| 1669525739 | Mark R. Kaehler | Emergency Medicine | 176 1st Ave N, Ocean Beach Hospital - Emcare Emergency Physicians, Ilwaco, WA 98624-9137 | 2007-01-19 |
| 1245228329 | Eugene G Pontecorvo | Orthopaedic Surgery | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2005-10-12 |
| 1083601264 | Shirley M Pryor | Nurse Practitioner | 176 1st Ave N, Po Drawer N, Ilwaco, WA 98624 | 2005-10-03 |
| 1487640884 | Edouard J Duret | Surgery | 176 1st Ave N, Ilwaco, WA 98624 | 2005-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215240593 | Discovery Coast Emergency Physicians LLC | Emergency Medicine | 174 First Ave. North, Ilwaco, WA 98624 | 2010-07-15 |
| 1720216302 | Jeffrey J Chabot | Pharmacist | 101 Spruce, Ilwaco, WA 98624 | 2009-06-23 |
| 1700025137 | Penny Irene Neal | Specialist | 120 First Avenue, Ilwaco, WA 98624 | 2009-02-09 |
| 1487817508 | Pacific Heart Associates PC | Specialist | 174 First Ave N, Ilwaco, WA 98624 | 2008-07-09 |
| 1639396203 | Ocean Beach Chiropractic Ps | Chiropractor | 167 First Avenue, North, Ilwaco, WA 98624 | 2007-04-18 |
| 1265568133 | Tamra Kay Roloff | Midwife | 901 Lakeview Drive, Ilwaco, WA 98624 | 2007-02-26 |
| 1255416038 | Peninsula Pharmacies Inc | Pharmacy | 101 1st Ave South, Ilwaco, WA 98624 | 2006-10-27 |
| 1356423883 | Ocean Beach Physical Therapy Inc | Physical Therapist | 316 1st Ave. North, Ilwaco, WA 98624 | 2006-10-20 |
| 1295825727 | Thomas Sutherland | Pharmacist | 101 First Ave S, Ilwaco Pharmacy, Ilwaco, WA 98624 | 2006-10-13 |
| 1922198662 | Victoria Margaret Vestal | Physical Therapist | 316 1st Ave North, Ilwaco, WA 98624 | 2006-10-13 |
| Find all providers in zip 98624 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487690566 | William Norris Kay | Surgery | 176 First Avenue North, Ilwaco, WA 98624 | 2006-06-20 |
| 1487640884 | Edouard J Duret | Surgery | 176 1st Ave N, Ilwaco, WA 98624 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477181758 | Michael Joseph Skerda | Surgery | 747 Broadway Apt 111, Seattle, WA 98122-4307 | 2020-03-31 |
| 1184185779 | Arezu Hajar Monawer | Surgery | 747 Broadway Bldg 10th, Seattle, WA 98122-4307 | 2019-03-27 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1659858132 | Vancouver Vein & Surgical Center | Surgery | 13115 Ne 4th St Ste 230, Vancouver, WA 98684-5965 | 2018-07-26 |
| 1457884090 | Michael Edward Parsons | Surgery | 9040 Jackson Ave Attn: Department of Surgery, Tacoma, WA 98431-0001 | 2017-04-11 |
| 1891248969 | Jad Abou-khalil | Surgery | 1430 Summit Ave, Appt 502, Seattle, WA 98122-3533 | 2016-07-25 |
| 1285016196 | Amer Nassar | Surgery | Department of Surgery Education, University of Washington, Box 356410, Seattle, WA 98195-0001 | 2015-06-27 |
| 1477949857 | Richard Stein | Surgery | 4545 8th Ave Ne, Apt 610, Seattle, WA 98105-5795 | 2015-04-12 |
| 1518353044 | Brian Cook | Surgery | 815 Mercer St. Box 358047, Uw Medicine South Lake Union, Seattle, WA 98109-4325 | 2015-04-10 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
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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.