MR. FRED C WEAVER OTC
NPI 1063610749
in Altus, OK

Q: What is Fred Weaver's NPI number?

The NPI number for Fred Weaver is 1063610749. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Q: When was this NPI record last updated?

The NPPES record for Fred Weaver was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 05, 2007

304 S PARK LN, SUITE A, ALTUS, OK 73521(580) 477-7356(580) 482-7510 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Fred C Weaver Otc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. FRED C WEAVER OTC (NPI 1063610749) is an individual healthcare provider in Altus, Oklahoma, licensed in Oklahoma (87-0658) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1063610749

Entity TypeIndividualMale

Primary Taxonomy246ZS0400X

Provider Legal NameMR. FRED C WEAVERCredential: OTC

Location Address304 S PARK LN, SUITE AAltus, OK 73521-5718

Mailing Address304 S Park Ln, Suite AAltus, OK 73521-5718 · (580) 477-7356 · Fax (580) 482-7510

Phone(580) 477-7356

Fax(580) 482-7510

Sole ProprietorNo

Enumeration DateJuly 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063610749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty

Taxonomy Code246ZS0400X

License✔ Licensed in OK · 87-0658

304 S PARK LN, Altus, OK 73521

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA MARIE STEVENS PA-C

Physician Assistant

304 S PARK LN
ALTUS, OK 73521

Jackson County (580) 379-6500

HANNAH A CURTIS PA

Physician Assistant

304 S PARK LN
ALTUS, OK 73521

Jackson County (580) 379-6500

ABDALLAH S DAWOD MD

Family Medicine

304 S PARK LN, SUITE B
ALTUS, OK 73521

Jackson County (580) 379-6550

SOUTHWEST ORTHOPEDICS, INC

Orthopaedic Surgery

304 S PARK LN, SUITE A
ALTUS, OK 73521

Jackson County (580) 482-4025

TIFFANY J FORSTER APRN-CNP

Nurse Practitioner

304 S PARK LN
ALTUS, OK 73521

Jackson County (580) 379-6500

DR. JEFFREY A. DUNCAN D.O.

Orthopaedic Surgery

304 S PARK LN
ALTUS, OK 73521

Jackson County (580) 379-6500

MORGAN PAIGE JOHNS APRN-CNS

Clinical Nurse Specialist (Gerontology)

304 S PARK LN
ALTUS, OK 73521

Jackson County (580) 379-6500

DR. TOM H SHURLEY M.D.

Orthopaedic Surgery

304 S PARK LN
ALTUS, OK 73521

Jackson County (580) 477-7355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Weaver's NPI number?

The NPI number for Fred Weaver is 1063610749. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Fred Weaver located?

Fred Weaver practices at 304 S Park Ln Suite A, Altus, OK 73521. The listed phone number is (580) 477-7356.

When was this NPI record last updated?

The NPPES record for Fred Weaver was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.