Jeremy Blake Weaver, PA
Jeremy Blake Weaver, PA is a Physician Assistant in Van Buren, Arkansas. Qualified in 2009, 17 years ago. Practices with Sophia Meyer Family Medicine LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Arkansas and Texas.
- Years since qualifying
- 17
- Licensed in
- AR, TX
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
620 Broadway StVan Buren, AR 72956-5830
Phone: (479) 474-5061
Fax: (479) 922-2007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-843 (AR) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA06492 (TX) |
Record details
| NPI number | 1790014447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | December 9, 2009 |
| Last updated in NPPES | January 26, 2021 |
| Certification date | January 26, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Sophia Meyer Family Medicine Llc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Van Buren
-
Ceth L Dawson, PA-C
2010 Chestnut St, Van Buren, AR 72956-5321 · (479) 262-2724