Maria J Weaver (NPI# 1528456928, PAC ID# 1153642715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1528456928 |
| PAC ID by PECOS | 1153642715 |
| Professional Enrollment ID | I20150608001603 |
| Full Name | Maria J Weaver |
| Organization Legal Name | PROVIDENCE - PROVIDENCE PARK HOSPITAL |
| Address |
21700 Northwestern Hwy 600 Providence Omni Medical Southfield MI 48075-4912 |
| Phone Number | 2485596664 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6103738703 |
| Number of Group Practice Members | 173 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| Address | Phone | Organization |
|---|---|---|
| 21700 Northwestern Hwy 600, Providence Omni Medical, Southfield, MI 48075-4912 | 2485596664 | PROVIDENCE - PROVIDENCE PARK HOSPITAL |
| Organization Legal Name | PROVIDENCE - PROVIDENCE PARK HOSPITAL |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal M Kulp | Physician Assistant | Providence - Providence Park Hospital | 22250 Providence Dr, Suite 705, Southfield, MI 48075-6215 |
| Brittni R Merz | Physician Assistant | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Cessalyn Y Harvey | Physician Assistant | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Karen Magowan | Physician Assistant | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Richard A Roodbergen | Physician Assistant | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Gary Otsuji | Family Practice | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jerry H Rosenberg | Orthopedic Surgery | Providence - Providence Park Hospital | 26850 Providence Pkwy, Novi, MI 48374-1213 |
| Mark M Bahoura | Psychiatry | Providence - Providence Park Hospital | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 |
| Karen Barnes Mitchell | Family Practice | Providence - Providence Park Hospital | 22250 Providence Dr, 301b, Southfield, MI 48075-6211 |
| Leon H Morris | Internal Medicine | Providence - Providence Park Hospital | 30055 Northwestern Hwy 150, Farmington Hills, MI 48334-3211 |
| Street Address |
21700 NORTHWESTERN HWY 600 PROVIDENCE OMNI MEDICAL |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48075-4912 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis J Yates | Psychologist, Clinical | 3000 Town Ctr, Suite 2575, Southfield, MI 48075-1102 | |
| Josephine C Bello | Family Medicine | 25511 Southfield Rd, Suite 118, Southfield, MI 48075-1830 | |
| James G Armstrong | Thoracic Surgery | Hamid Sattar Mdpc | 25130 Southfield Rd, Suite 105, Southfield, MI 48075-1900 |
| Joanna Qiong Sattar | Nephrology | Ark Multispecialty Physicians Pllc | 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 |
| Johnny E Robinson | Chiropractic | Robinson Chiropractic and Personal Fitness Center PC | 25130 Southfield Rd, Southfield, MI 48075-1921 |
| Yaakov G Zacks | Optometry | 16232 Sherfield Pl, Southfield, MI 48075-2061 | |
| Jessica Knopp | Clinical Social Worker | Tender Heart East Inc | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Amanda N Scott | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Joseph A Reilly | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Laura L Williams | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Find all physicians in zip 48075 | |||
| City | SOUTHFIELD |
| Zip Code | 48075 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SOUTHFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Maria J Weaver.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.