Gerald Edward Weaver, MD

Surgery Physician · Ilwaco, WA

Individual Active NPI

NPI number 1952333221

Practice location

176 1st Ave N
Ilwaco, WA 98624-9137
Phone
(360) 642-3747
Fax
(360) 642-3361

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NPI record

NPI
1952333221
Entity type
Individual (Type 1)
Enumeration date
July 7, 2006
Last updated
May 21, 2020
Certified
May 21, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X MD60398142 WA
Surgery Physician 208600000X 5731A WY

Mailing address

176 1st Ave N
Ocean Beach Medical Clinic
Ilwaco, WA 98624-9137
Phone
(360) 642-3747
Fax
(360) 642-3361

About Dr. Weaver

Gerald Edward Weaver, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 176 1st Ave N, Ilwaco, WA 98624-9137. The NPI number 1952333221 was assigned on July 7, 2006 and the record was last updated on May 21, 2020.

Dr. Weaver lists 2 licenses in the registry: #MD60398142 (WA) for Surgery Physician; #5731A (WY) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gerald Edward Weaver, MD?

The NPI number is 1952333221.

What is the phone number of Dr. Weaver?

The phone number listed for the practice location is (360) 642-3747.

Where is Dr. Weaver located?

176 1st Ave N, Ilwaco, WA 98624-9137.

What is the taxonomy code for Dr. Weaver?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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