JACK E WEAVER, MD PC
NPI 1841508918
Internal Medicine - Sports Medicine in Muskogee, OK

NPI Status: Active since September 22, 2010

Contact Information

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

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  • Organization
  • Internal Medicine
  • Sports Medicine
  • Accepts Insurance
  • CLIA Number: 37D2077468
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-12-2027

About JACK E WEAVER, MD PC

This page provides the complete NPI Profile along with additional information for Jack E Weaver, Md Pc, an internist established in Muskogee, Oklahoma operating as a Internal Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1841508918 assigned on September 2010. The practitioner's primary taxonomy code is 207RS0010X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jack E Weaver Md (Owner)

NPI
1841508918
Provider Name
JACK E WEAVER, MD PC
Entity Type
Organization
Location Address
209 S 36TH ST MUSKOGEE, OK 74401
Location Phone
(918) 682-7717
Location Fax
(918) 682-9434
Mailing Address
209 S 36TH ST MUSKOGEE, OK 74401
Mailing Phone
(918) 682-7717
Mailing Fax
(918) 682-9434
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-22-2010
Last Update Date
08-25-2015
Code Navigator

An internist like Jack E Weaver, Md Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Sports Medicine

Taxonomy Code
207RS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACK E WEAVER MD

Authorized Official Title
OWNER
Authorized Official Phone
(918) 682-7717

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6346320001MEDICARE NSC (07)OK 
100088830AMEDICAID (05)OK 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2077468
Facility Type
Physician Office
Certificate Effective Date
July 13, 2025
Certificate Expiration Date
July 12, 2027
Laboratory Director
JACK E. WEAVER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jack E Weaver, Md Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for JACK E WEAVER, MD PC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1841508918, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 8 + 1 + 1 + 0 + 0 + 1 + 6 + 9 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1841508918.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Specialist
209 S 36TH ST
MUSKOGEE, OK 74401
Orthopaedic Surgery
209 S 36TH ST, SUITE A
MUSKOGEE, OK 74401
Specialist/Technologist (Athletic Trainer)
209 S 36TH ST
MUSKOGEE, OK 74401
Specialist
209 S 36TH ST
MUSKOGEE, OK 74401
Orthopaedic Surgery
209 S 36TH ST
MUSKOGEE, OK 74401
Specialist
209 S 36TH ST
MUSKOGEE, OK 74401
Specialist
209 S 36TH ST
MUSKOGEE, OK 74401
Orthopaedic Surgery
209 S 36TH ST
MUSKOGEE, OK 74401
Surgery
209 S 36TH ST, SUITE A
MUSKOGEE, OK 74401
Pain Medicine (Interventional Pain Medicine)
209 S 36TH ST
MUSKOGEE, OK 74401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841508918, enumerated as an "organization" on September 22, 2010.

The provider is located at 209 S 36TH ST MUSKOGEE, OK 74401 and the phone number is (918) 682-7717.

Internal Medicine with taxonomy code 207RS0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.