Jack Eugene Weaver (NPI# 1902802101, PAC ID# 4486543865) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1902802101 |
| PAC ID by PECOS | 4486543865 |
| Professional Enrollment ID | I20111020000143 |
| Full Name | Jack Eugene Weaver |
| Organization Legal Name | JACK E WEAVER, MD PC |
| Address |
209 S 36th St Muskogee OK 74401-5043 |
| Phone Number | 9186827717 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 6901096239 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370089 | NORTHEASTERN HEALTH SYSTEM |
| 370025 | SAINT FRANCIS HOSPITAL MUSKOGEE |
| 370091 | SAINT FRANCIS HOSPITAL, INC |
| 370171 | CHEROKEE NATION W W HASTINGS INDIAN HOSPITAL |
| 370218 | SAINT FRANCIS HOSPITAL SOUTH, LLC |
| Address | Phone | Organization |
|---|---|---|
| 209 S 36th St, Muskogee, OK 74401-5043 | 9186827717 | JACK E WEAVER, MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | JACK E WEAVER, MD PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Bernadette Perry | Nurse Practitioner | Jack E Weaver, Md PC | 209 S 36th St, Muskogee, OK 74401-5043 |
| Monica E Hare | Nurse Practitioner | Jack E Weaver, Md PC | 209 S 36th St, Muskogee, OK 74401-5043 |
| Street Address |
209 S 36TH ST |
| City | MUSKOGEE |
| State | OK |
| Zip | 74401-5043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Bernadette Perry | Nurse Practitioner | Jack E Weaver, Md PC | 209 S 36th St, Muskogee, OK 74401-5043 |
| Dennis Palmer Rivero | Orthopedic Surgery | 209 S 36th St, Muskogee, OK 74401-5043 | |
| Monica E Hare | Nurse Practitioner | Jack E Weaver, Md PC | 209 S 36th St, Muskogee, OK 74401-5043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen M Patton | Psychiatry | 841 N 38th St, Brentwood Extended Care and Rehab LLC, Muskogee, OK 74401-2056 | |
| Ashley N Aldrich | Family Medicine | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Kendra Seccombe | Nurse Practitioner | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Jetta D Ange | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Jennifer Lyn Stickelmeyer | Nurse Practitioner | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Stephanie J Garrett | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Caitlin M Ashley | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Erik E Paulson | Diagnostic Radiology | Landmark Cancer Center Gp LLC | 301 N 32nd St, Muskogee, OK 74401-2106 |
| Ravikumar Vasireddy | Hematology/oncology | Landmark Cancer Center Gp LLC | 301 N 32nd St, Muskogee, OK 74401-2106 |
| Bilal Ahmad | Hematology/oncology | Pinnacle Oncology Oklahoma PC | 301 N 32nd St, Muskogee, OK 74401-2106 |
| Find all physicians in zip 74401 | |||
| City | MUSKOGEE |
| Zip Code | 74401 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | MUSKOGEE + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Jack Eugene Weaver.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.