Paul E Weathers (NPI# 1801882295, PAC ID# 9638124795) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1801882295 |
| PAC ID by PECOS | 9638124795 |
| Professional Enrollment ID | I20050422001062 |
| Full Name | Paul E Weathers |
| Organization Legal Name | MEDICINE WHEEL INC |
| Address |
104 W F St Milburn OK 73450-0067 |
| Phone Number | 5804433533 |
| Gender | M |
| Credential | DO |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7416126230 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370014 | ALLIANCEHEALTH DURANT |
| 450324 | TEXOMA MEDICAL CENTER |
| 370047 | MERCY HOSPITAL ARDMORE, INC |
| 371304 | MERCY HOSPITAL TISHOMINGO INC |
| Address | Phone | Organization |
|---|---|---|
| 104 W F St, Milburn, OK 73450-0067 | 5804433533 | MEDICINE WHEEL INC |
| Organization Legal Name | MEDICINE WHEEL INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodie H Moore | Nurse Practitioner | Medicine Wheel Inc | 104 W F St, Milburn, OK 73450-0067 |
| Mitsi Faubion | Family Practice | Medicine Wheel Inc | 128 Buffalo St, Caddo, OK 74729-2606 |
| Natalie Alise Brixey | Family Medicine | Medicine Wheel Inc | 213 E Main St, Calera, OK 74730-2102 |
| Emily Love | Nurse Practitioner | Medicine Wheel Inc | 104 W F St, Milburn, OK 73450-0067 |
| Heather Micheal Workman | Nurse Practitioner | Medicine Wheel Inc | 104 W F St, Milburn, OK 73450-0067 |
| Street Address |
104 W F ST |
| City | MILBURN |
| State | OK |
| Zip | 73450-0067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodie H Moore | Nurse Practitioner | Medicine Wheel Inc | 104 W F St, Milburn, OK 73450-0067 |
| Emily Love | Nurse Practitioner | Medicine Wheel Inc | 104 W F St, Milburn, OK 73450-0067 |
| Heather Micheal Workman | Nurse Practitioner | Medicine Wheel Inc | 104 W F St, Milburn, OK 73450-0067 |
| City | MILBURN |
| Zip Code | 73450 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MILBURN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Paul E Weathers.
| 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.