Individual
ANTHONY D WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 MACK WALTERS RD, SHELBYVILLE, KY 40065-1738
(502) 633-4622
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24528
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186862
BLUE CROSS INDIVIDUAL
KY
05
—
64245285
—
KY
05
—
65906844
—
KY
Enumeration date
08/31/2006
Last updated
08/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us