Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
|
WEAVER, JACK EUGENE
|
|
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
|
| Practice Address: |
209 S 36TH ST
MUSKOGEE OK 74401
Address last updated on 4/5/2024 |
| Phone #: |
(918) 682-7717 |
| Fax #: |
(918) 682-9434 |
| County: |
MUSKOGEE |
| License: |
19721 |
| Dated: |
5/29/1996 |
| Expires: |
5/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
Sports Medicine (Orthopedic Surgery)
Pain Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1993 |
| CME Year: |
2025 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
Preferred Community Choice
SoonerCare HMO
SoonerCare PPO |
| Hospital Privileges: |
Northeastern Health System (formerly Tahlequah City Hospital)
Tahlequah, OK
St. Francis Hospital - Muskogee (frmly Muskogee Reg. Med. Ctr./Eastar)
Muskogee, OK
|
|
|
|
|
Return to Search Licensees page
