Kenneth Weaver (NPI# 1942262167, PAC ID# 6901920743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1942262167 |
| PAC ID by PECOS | 6901920743 |
| Professional Enrollment ID | I20100831000123 |
| Full Name | Kenneth Weaver |
| Address |
1103 E Jackson Blvd Suite 1 Jonesborough TN 37659-4775 |
| Phone Number | 4237534177 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1960 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Secondary Specialties | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440063 | JOHNSON CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1103 E Jackson Blvd, Suite 1, Jonesborough, TN 37659-4775 | 4237534177 | |
| 1103 E Jackson Blvd, Jonesborough, TN 37659-4775 | 4237534177 |
| Street Address |
1103 E JACKSON BLVD SUITE 1 |
| City | JONESBOROUGH |
| State | TN |
| Zip | 37659-4775 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Floyd | Psychologist, Clinical | 208 W Main St, Jonesborough, TN 37659-1230 | |
| Michael E Jewett | Family Medicine | 121 E Main St, Jonesborough, TN 37659-1317 | |
| Timothy J Morganstern | Chiropractic | 401 E Main St, Jonesborough, TN 37659-1415 | |
| Angela M Snyder | Nurse Practitioner | Blue Ridge Medical Management Corporation | 395 Forest Cir, Suite 100, Jonesborough, TN 37659-1439 |
| Kristen B Pumphrey | Optometry | Jonesborough Eye Clinic,pllc | 395 Forest Cir, Suite 120, Jonesborough, TN 37659-1449 |
| Carissa Chambers | Optometry | Jonesborough Eye Clinic,pllc | 395 Forest Cir, Suite 120, Jonesborough, TN 37659-1449 |
| Atif A Atyia | Internal Medicine | 1003 E Jackson Blvd, Jonesborough, TN 37659-1531 | |
| Kathryn Alane Grist | Physical Therapy | Independent Physical Therapy LLC | 806 E Jackson Blvd, Suite 15, Jonesborough, TN 37659-1536 |
| Faith A Aimua | Psychiatry | 806 E Jackson Blvd, Suite 9, Jonesborough, TN 37659-1547 | |
| Lisa S Lull | Diagnostic Radiology | Association of Alexandria Radiologists PC | 157 Serenity Ln, Jonesborough, TN 37659-4645 |
| Find all physicians in zip 37659 | |||
| City | JONESBOROUGH |
| Zip Code | 37659 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | JONESBOROUGH + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Kenneth 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.