Dr. Andrea B Weaver, MD
Pediatrics in Vienna, VA. Individual provider (NPI-1).
NPI number1104869403
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1104869403
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrea B Weaver
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2006
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 0101055844 | VA | Yes |
Practice location
100 East St SeSuite 301
Vienna, VA 22180-4800
Phone 703-938-5555 · Fax 703-319-8580
Mailing address
100 East St SeSuite 301
Vienna, VA 22180-4800
Phone 703-938-5555 · Fax 703-319-8580
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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