Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK EUGENE WEAVER, MD
ActiveJACK EUGENE WEAVER, MD is a Interventional Vascular Surgery healthcare provider located in MUSKOGEE, Oklahoma. NPI 1902802101 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · MUSKOGEE, OK
Registration Details
- NPI Number
- 1902802101
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2005 (20.95780938266 yrs)
- Last Updated
- Feb 4, 2026
- Licenses
-
19721 (OK)19721 (OK)19721 (OK)
Practice Information
- Address
-
209 S 36TH STMUSKOGEE, OK, 744015043Browse OK providers · Browse ZIP 74401
- Phone
- 9187104112
- Fax
- 9187104118
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.