DR. MICAELA WEAVER (NPI# 1992111884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992111884 |
| Entity Type | Individual |
| Full Name | DR. MICAELA WEAVER |
| Credential | D.O. |
| Practice Address |
1 Blackstone Street 2nd Floor Providence RI 02903 |
| Mailing Address |
93 Clemence St Apt 201 Providence RI 02903-3401 |
| Practice Telephone | 4014537520 |
| Mailing Telephone | 3046465679 |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | DO00965 | RI | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
DO00965 | RI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Dudley St, Providence, RI 029052499 | 4012741122 | |
| 4500 Parsons Blvd, Fhmc Dept of General Surgery--residency Coordinator, Flushing, NY 113552205 | 7186705000 | |
| 455 Toll Gate Rd, Warwick, RI 028862759 | 4017377000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695057 | Micaela Rose Weaver | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-01 |
| 1114478484 | Micaela Weaver | Case Manager/Care Coordinator | 3308 Tulane Ave Ste 407, New Orleans, LA 70119-7158 | 2016-10-20 |
| Street Address |
1 BLACKSTONE STREET 2ND FLOOR |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578574893 | Marc A Houle | Physical Therapist | 1 Blackstone Street, 3rd Floor, Providence, RI 02903 | 2006-08-11 |
| 1912438581 | Ariana Ann Saccoccio | Nurse Practitioner | 1 Blackstone Street, 2nd Floor, Providence, RI 02903 | 2017-03-24 |
| 1659540490 | Cara A Mathews | Obstetrics & Gynecology | 1 Blackstone Street, 3rd Floor, Providence, RI 02903 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740609981 | Harold J Wanebo Md LLC | Surgery | 1165 N Main St, 2nd Floor, Providence, RI 02904-5740 | 2014-04-15 |
| 1770732497 | Abdul Saied Calvino | Surgery | 825 Chalkstone Ave, Dept. of Surgery - Prior 4, Providence, RI 02908-4728 | 2008-09-17 |
| 1275793044 | Steven C Katz | Surgery | 50 Maude St, Providence, RI 02908-4325 | 2008-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396778593 | Landmark Physician Office Services | Surgery | 219 Cass Ave, Woonsocket, RI 02895-4741 | 2006-07-09 |
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on DR. MICAELA WEAVER.
| 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.