National Provider Identifier Database

JACK E WEAVER, MD – NPI #1902802101
Interventional Pain Medicine

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.


Contact Information

JACK E WEAVER, MD
209 S 36TH ST
MUSKOGEE, OK74401-5043
Phone: 918-710-4112
Fax: 918-710-4118
Website:
Specialty Taxonomy Code
* Interventional Pain Medicine 208VP0014X
Family Medicine 207Q00000X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for JACK E WEAVER

NPI Number 1902802101
Credentials MD
Entity Individual
Enumeration date 06/22/2005
Last updated 02/04/2026 - About 4 months ago
Sole proprietor1 No
Identifiers
  • OK License #: 19721
  • OK Medicaid: 100088830A
  • OK Other: 1841508918 GROUP NPI
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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