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

Kelly Weaver, MD

Individual provider Family Medicine Physician · NPI 1457506693

Kelly Weaver, MD is a Family Practice in Canastota, New York. Qualified in 2006, 20 years ago. Practices with Oneida Medical Practice PC, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2008
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

7137 Mt Pleasant Rd
Canastota, NY 13032-5024
Phone: (315) 697-2033
Fax: (315) 697-9175
Show map & directions

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

Additional practice locations (1)

  • 115 Center St, Canastota, NY 13032-1356 — (315) 697-5272

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 250839 (NY)

Record details

NPI number1457506693
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 1, 2008
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 16, 2021
Mailing address7137 Mt Pleasant Rd, Canastota, NY 13032-5024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Oneida Medical Practice Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Canastota