Healthcare Provider Details

I. General information

NPI: 1679580088
Provider Name (Legal Business Name): MICHAEL LIVINGSTON WEAVER CPO CPED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 TUNNEL RD ASHEVILLE VAMC REHAB MED 117
ASHEVILLE NC
28805
US

IV. Provider business mailing address

304 NEW BERN AVE
BLACK MOUNTAIN NC
28711
US

V. Phone/Fax

Practice location:
  • Phone: 828-299-2517
  • Fax: 828-299-5946
Mailing address:
  • Phone: 828-669-8602
  • Fax: 828-299-5946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: