Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael John Weaver, MD

Individual provider Gastroenterology Physician · NPI 1720427974

Dr. Michael John Weaver, MD is a Gastroenterology in Twin Falls, Idaho. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2013, 13 years ago. Practices with Utah Gastroenterology LLC, a 71-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho, Missouri and Utah.

Years since qualifying
13
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
ID, MO, UT
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

775 Pole Line Rd W Ste 203
Twin Falls, ID 83301-5820
Phone: (208) 814-8300
Fax: (208) 933-4909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4901 Forest Park Ave, Saint Louis, MO 63108-1402 — (314) 362-5060

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 2271091 (ID)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 12137545-1205 (UT)
General Practice Physician Taxonomy 208D00000X · Licence 2015013524 (MO)

Record details

NPI number1720427974
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2013
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address660 S Euclid Ave, C B 8121, Saint Louis, MO 63110-1010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Utah Gastroenterology Llc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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