Individual provider · Type 1 NPI

Jack Eugene Weaver, MD

Interventional Pain Medicine Physician · Muskogee, OK

NPI number 1902802101 Active

Practice location

209 S 36th St
Muskogee, OK 74401-5043

Fax (918) 710-4118

Mailing address

4750 S Garnett Rd
Tulsa, OK 74146-5222

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X19721 (OK)
Interventional Pain Medicine Physician Primary 208VP0014X19721 (OK)
Family Medicine Physician 207Q00000X19721 (OK)

Interventional Pain Medicine Physician: 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.

10 other providers at this address

About NPI 1902802101

Jack Eugene Weaver, MD's National Provider Identifier is 1902802101, issued on Jun 22, 2005. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Muskogee, OK. The record was last updated on Feb 4, 2026.