JACK E WEAVER, MD PC (NPI# 1841508918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841508918 |
| Entity Type | Organization |
| Organization Name | JACK E WEAVER, MD PC |
| Practice Address |
209 S 36th St Muskogee OK 74401-5043 |
| Practice Telephone | 9186827717 |
| Practice Fax Number | 9186829434 |
| Mailing Telephone | 9186827717 |
| Mailing Fax Number | 9186829434 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2015-08-25 |
| Authorized Official Name | JACK E WEAVER (OWNER) |
| Authorized Official Telephone | 9186827717 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100088830A | 05 |
| Street Address |
209 S 36TH ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528806 | Fred Michael Ruefer | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2005-06-17 |
| 1699230961 | Monica Hare | Nurse Practitioner | 209 S 36th St, Muskogee, OK 74401-5043 | 2019-01-31 |
| 1164767018 | John V Tedesco Do Pa | Surgery | 209 S 36th St, Suite A, Muskogee, OK 74401-5043 | 2012-12-04 |
| 1972899144 | Dennis Rivero, Md, Inc., PC | Orthopaedic Surgery | 209 S 36th St, Muskogee, OK 74401-5043 | 2011-06-25 |
| 1700175155 | Muskogee Bone & Joint & Sports Medicine | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2011-04-06 |
| 1568777043 | Guy E. Grooms, M.d., P.C. | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-08-09 |
| 1184947236 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Family Medicine | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-03-03 |
| 1518161249 | Fred M Ruefer, Md PC | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2007-06-14 |
| 1548479942 | Jennifer Miller | Specialist/Technologist | 209 S 36th St, Muskogee, OK 74401-5043 | 2007-05-22 |
| 1619982188 | Dennis Rivero | Orthopaedic Surgery | 209 S 36th St, Suite A, Muskogee, OK 74401-5043 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043373533 | Val Gene Iven | Internal Medicine | 170 Athletics Center, Osu Sportsmedicine, Stillwater, OK 74078 | 2006-12-18 |
| 1104995653 | Advanced Occupational Rehabilitaion,inc | Internal Medicine | 2121 S Columbia Ave Ste 501, Tulsa, OK 74114-3513 | 2006-11-07 |
| 1720354202 | Michele L Neil Do, Pllc | Internal Medicine | 6048 S Sheridan Rd, Tulsa, OK 74145-9212 | 2012-03-28 |
| 1013207505 | Oklahoma Pain & Rehab LLC | Internal Medicine | 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119-7033 | 2011-04-18 |
| 1275633455 | Stephanie Husen | Internal Medicine | 6475 S Yale Ave Ste 200, Tulsa, OK 74136-7816 | 2006-09-25 |
| 1730157074 | E Randy Eichner | Internal Medicine | 825 Ne 10th St, Oupb 5200, Oklahoma City, OK 73104-5417 | 2006-03-11 |
Please comment or provide details below to improve the information on JACK E WEAVER, MD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.