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

Mitchell Ross Weaver, MD

Individual provider Vascular Surgery Physician · NPI 1033191994

Mitchell Ross Weaver, MD is a Vascular Surgery in Detroit, Michigan. Graduated from Ohio State University College of Medicine in 1997, 29 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Ohio.

Years since qualifying
29
Trained at
Ohio State University College of Medicine
Licensed in
MI, OH
In the registry since
2005
Specialties on file
2
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

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-3156
Fax: (313) 916-3023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 4301069776 (MI)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 35-084264 (OH)

Record details

NPI number1033191994
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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