P Praxis·MD
● Active Type 1 · Individual

MR. Mickey Ray Weimer, C.F.A.

Specialist/Technologist, Other·Eagle, ID· NPI 1942373766 · Enumerated 2006 · 19 years on NPI
Weimer is 1 of 2 specialist/technologist, other providers in Eagle and 1 of 39 in Idaho.
NPI age
19 years
Enumerated 2006-11-17
Primary specialty
Specialist/Technologist, Other
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-10-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 39 active specialist/technologist, other providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
323 E. Riverside Dr #234
Eagle, ID 83616
📞 2089384080fax 2089388922
Mailing address
1963 W Lonesome Dove St
Meridian, ID 836468271
📞 2087246139

Specialties

  • Specialist/Technologist, Other Primary
    Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the...
    ID license #97391 taxonomy 246ZS0410X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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