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JACK EUGENE WEAVER MD NPI 1902802101


NPI Information

NPI: 1902802101
Provider Name: JACK EUGENE WEAVER, MD
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
209 S 36TH ST
MUSKOGEE, OK
ZIP 74401
Phone: (918) 682-7717
Get Directions

Jack Eugene Weaver, MD is an interventional pain medicine pain medicine in Muskogee, OK with 31 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Jack Eugene Weaver, MD NPI is 1902802101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1993

The provider's business location address is:

209 S 36TH ST
MUSKOGEE, OK
ZIP 74401-043
Phone: (918) 682-7717
Fax: (918) 682-9434

The NPI 1902802101 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance (HCPCS:64635)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)

The enumeration date for this NPI number is 6/22/2005 and was last updated on 4/10/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist19721OKLAHOMANo
2207Q00000XFamily Medicine19721OKLAHOMANo
3208VP0014XPain MedicineInterventional Pain Medicine19721OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100088830AMEDICAIDOKLAHOMA
21841508918OTHEROKLAHOMAGROUP NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.