Leroy D Weaver Jr. Diagnostic Radiology
611 E Douglas Rd, Suite 122, Mishawaka, IN 46545-1464


Leroy D Weaver Jr. is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1710950258. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 5991736571. The medical credential is MD. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is NORTHERN INDIANA MAGNETIC RESONANCE CENTER, LLP. The address is 611 E Douglas Rd, Suite 122, Mishawaka, IN 46545-1464. The zip code is 46545.


Leroy D Weaver Jr. · 611 E Douglas Rd, Suite 122, Mishawaka, IN 46545-1464

Nation Provider ID 1710950258
PAC ID by PECOS 5991736571
Professional Enrollment ID I20060612000231
Last Name WEAVER
First Name LEROY
Middle Name D
Suffix JR.
Gender M
Credential MD
Medical School Name INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary Specialty NORTHERN INDIANA MAGNETIC RESONANCE CENTER, LLP
Phone Number 5742729991
Group Practice PAC ID 6709780802
Number of Group Practice Members 41
Address 611 E DOUGLAS RD
SUITE 122
MISHAWAKA, IN 465451464
Claims Based Hospital Affiliation Claim Control Number (CCN): 150026
Legal Business Name: IU HEALTH GOSHEN HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 150018
Legal Business Name: ELKHART GENERAL HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 150058
Legal Business Name: MEMORIAL HOSPITAL OF SOUTH BEND
Claims Based Hospital Affiliation Claim Control Number (CCN): 150146
Legal Business Name: PARKVIEW NOBLE HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 151300
Legal Business Name: COMMUNITY HOSPITAL OF BREMEN INC
Professional accepts Medicare Assignment Y
Report Quality Measures Y

Northern Indiana Magnetic Resonance Center, LLP · Medicare Physician

Name Address Specialty
Michael Mccrea 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Michael Grantham 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Edward Yang 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Robert Rust 17333 Dugdale Dr, South Bend, IN 46635-1500 DIAGNOSTIC RADIOLOGY
Samir Patel 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Michael Dye 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Kyle Brock 17333 Dugdale Dr, South Bend, IN 46635-1500 DIAGNOSTIC RADIOLOGY
Nicholas Abel 17333 Dugdale Dr, South Bend, IN 46635-1500 DIAGNOSTIC RADIOLOGY
Mary Dynes 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Sandra Roland 611 E Douglas Rd, Mishawaka, IN 46545-1464 INTERVENTIONAL RADIOLOGY
Ester Van Der Wal 17333 Dugdale Dr, South Bend, IN 46635-1500 DIAGNOSTIC RADIOLOGY
Timothy Smith 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Terrence Wilkin 611 E Douglas Rd, Mishawaka, IN 46545-1464 INTERVENTIONAL RADIOLOGY
Paul Shu 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Mark Crain 17333 Dugdale Dr, South Bend, IN 46635-1500 DIAGNOSTIC RADIOLOGY
Peter Miller 17333 Dugdale Dr, South Bend, IN 46635-1500 INTERVENTIONAL RADIOLOGY
Steven Gerstler 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Ryan Greene 611 E Douglas Rd, Mishawaka, IN 46545-1464 INTERVENTIONAL RADIOLOGY
Karl Schultz 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Scott King 611 E Douglas Rd, Mishawaka, IN 46545-1464 INTERVENTIONAL RADIOLOGY

Zip 46545 · Diagnostic Radiology · Medicare Physician

Name Address Specialty
Samir Patel 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Mary Dynes 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Edward Yang 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Michael Dye 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Michael Mccrea 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Karl Schultz 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Michael Grantham 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Sanjay Mohindra 710 Park Pl, Mishawaka, IN 46545-3519 DIAGNOSTIC RADIOLOGY
Brett Stephens 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Paul Shu 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Timothy Smith 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY
Steven Gerstler 611 E Douglas Rd, Mishawaka, IN 46545-1464 DIAGNOSTIC RADIOLOGY

Zip 46545 · Medicare Physician

Name Address Specialty
Marcy Adams 505 W Cleveland Rd, Mishawaka, IN 46545-1003 NURSE PRACTITIONER
Andrew Renner 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 ANESTHESIOLOGY
Ann Thomas 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 INTERNAL MEDICINE
Andrew Anderson 230 E Day Rd, Mishawaka, IN 46545-3408 OPTOMETRY
Steve Sikorevich 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 FAMILY PRACTICE
Kim Wipperman 221 W Day Rd, Mishawaka, IN 46545-1401 PHYSICAL THERAPY
Leah Ortiz 611 E Douglas Rd, Mishawaka, IN 46545-1464 FAMILY PRACTICE
Usman Mustafa 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 INTERNAL MEDICINE
Stephen Laga 611 E Douglas Rd, Mishawaka, IN 46545-1465 THORACIC SURGERY
Ashley Thiele 212 W Edison Rd B, Mishawaka, IN 46545-8301 NURSE PRACTITIONER
William Youngs 314 W Catalpa E, Mishawaka, IN 46545-3194 CLINICAL PSYCHOLOGIST
Dawn Case 301 E Day Rd, Mishawaka, IN 46545-3455 NURSE PRACTITIONER
Ramesh Adhikari 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 INTERNAL MEDICINE
Scott King 611 E Douglas Rd, Mishawaka, IN 46545-1464 INTERVENTIONAL RADIOLOGY
Carole Derucki 611 E Douglas Rd, Mishawaka, IN 46545-1467 NURSE PRACTITIONER
James Schalliol 425 Park Place Cir, Mishawaka, IN 46545-3580 PSYCHIATRY
James Fanning 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 GYNECOLOGICAL ONCOLOGY
Charles Ware 270 E Day Rd, Mishawaka, IN 46545-3444 ORTHOPEDIC SURGERY
Kesler Truelove 230 E Day Rd, Mishawaka, IN 46545-3463 ORAL SURGERY
Lensa Girsha 611 E Douglas Rd, Mishawaka, IN 46545-1467 NURSE PRACTITIONER