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Active NPI 1447002019 Individual Practitioner Male Practitioner

Marcus Weimar , PA

Physician Assistant • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Marcus Weimar, PA is a certified Physician Assistant practicing in Providence, RI. With approximately 2 years of clinical experience since completing medical education in 2024, Marcus Weimar delivers high-quality medical care to the local community at 593 EDDY ST.

Marcus Weimar maintains professional affiliations with Lifespan Physician Group Inc, Rhode Island Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St

Providence, RI 029034923

Telephone 4017939166
Fax 4014442788
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Providence, RI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
267 Specialists

Practicing in Providence, RI (687 Statewide)

Telehealth Adoption Rate
16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Weimar (2 Years) 2 Yrs
Providence Specialty Average (10.6 Years) 10.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-07-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA01705

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Lifespan Physician Group Inc

593 Eddy St George Bldg 1st Floor, Providence, RI 029034923

Phone: 4017939166

Lifespan Physician Group Inc

185 A High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Lifespan Physician Group Inc

185 High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Rhode Island Hospital

1454 S County Trl, East Greenwich, RI 028181749

Phone: 4016062000

Lifespan Physician Group Inc

593 Eddy St Apc, Providence, RI 029034923

Phone: 4017939172

Lifespan Physician Group Inc

593 Eddy St, Providence, RI 029034923

Rhode Island Hospital

593 Eddy St, Providence, RI 029034923

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Shannon Fultz , NP

Nurse Practitioner

NPI 1023601069

Nurse Practitioner

Dr. Eileen Wang , MD

Anesthesiology - Pain Medicine

NPI 1033642871

Doctor of Medicine (M.D.)

Lori Oliver , ANP-BC

Nurse Practitioner - Adult Health

NPI 1053662833

ANPBC

Dr. Elias Shaaya , MD

Neurological Surgery

NPI 1053840827

Doctor of Medicine (M.D.)

Dr. Ki-Eun Chang , MD

Neurological Surgery

NPI 1073979332

Doctor of Medicine (M.D.)

NPI 1083335301

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 11, 2024

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4017939166)

📍
Updated Business Mailing Address July 11, 2024

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541

👤
Provider Name / Credentials Updated July 11, 2024

Recorded as MARCUS WEIMAR, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2024

Physician Assistant (License #PA01705 in RI)

NPI Profile Active April 04, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 04, 2024

Registered at 179 LONGWOOD AVE, BOSTON, MA 021155804 (Tel: 6177322918)

📍
Updated Business Mailing Address April 04, 2024

Registered at 179 LONGWOOD AVE, BOSTON, MA 021155804

👤
Provider Name / Credentials Updated April 04, 2024

Recorded as MARCUS WEIMAR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 04, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447002019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2024
Last Update: July 11, 2024
Sole Proprietor: No

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.