KENNETH WEAVER (NPI# 1942262167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942262167 |
| Entity Type | Individual |
| Full Name | KENNETH WEAVER |
| Credential | MD |
| Practice Address |
1103 E Jackson Blvd Ste 1 Jonesborough TN 37659 |
| Mailing Address |
Po Box 67 Jonesborough TN 37659 |
| Practice Telephone | 4237534177 |
| Practice Fax Number | 4237538030 |
| Mailing Telephone | 4237534177 |
| Mailing Fax Number | 4237538030 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD11216 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3166800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407821382 | Kenneth W Weaver | Nurse Anesthetist, Certified Registered | 1150 Se 18th Pl, Ocala, FL 34471 | 2006-02-22 |
| 1689671430 | Kenneth Ray Weaver | Ophthalmology | 715 Shaker Dr Ste 110, Lexington, KY 40504-3674 | 2005-07-07 |
| 1164974218 | Kenneth Weaver | Pharmacist | 1361 Lake Park Blvd N, Carolina Beach, NC 28428-3946 | 2016-10-25 |
| 1578527412 | Kenneth L Weaver | Physician Assistant | 5 St Vincent Cir, Suite 100, Little Rock, AR 72205 | 2006-04-17 |
| Street Address |
1103 E JACKSON BLVD STE 1 |
| City | JONESBOROUGH |
| State | TN |
| Zip Code | 37659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538777669 | Megan Gilchrist | Pharmacist | 22 New Halifax St, Jonesborough, TN 37659 | 2020-07-15 |
| 1316414337 | Anna Brazell | Radiology | Lamont St and Veterans Way, Johnson City, TN 37659 | 2018-10-29 |
| 1952785081 | East Tennessee State University | Nurse Practitioner | 3261 Tn 81, Jonesborough, TN 37659 | 2015-07-18 |
| 1487907564 | Ashley Nugent Charfauros | Pharmacist | 1200 W. Jackson Blvd., Jonesborough, TN 37659 | 2012-10-26 |
| 1770871022 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 531 E Jackson Blvd, Jonesborough, TN 37659 | 2011-07-20 |
| 1548465784 | Cradic Chiropractic Center | Chiropractor | 206 Headtown Rd Suite 100, Jonesborough, TN 37659 | 2007-06-18 |
| 1265517197 | Jennie L. Walls | Nurse Practitioner | David Crockett High School Health Clinic, 684 Old State Route 34, Jonesborough, TN 37659 | 2006-10-26 |
| 1326534082 | Hannah Ridley | Behavioral Analyst | 1015 Borowood Ct, Jonesborough, TN 37659 | 2018-07-06 |
| 1376044552 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 600 Boones Creek Rd, Jonesborough, TN 37659 | 2018-02-23 |
| 1225552904 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 417 Boones Creek Rd, Jonesborough, TN 37659 | 2017-08-03 |
| Find all providers in zip 37659 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056036 | Modern Gynecology and Reproductive Health PC | Obstetrics & Gynecology | 1407 Union Ave Ste 1401, Memphis, TN 38104-3667 | 2019-07-27 |
| 1598206336 | Stephen Merrick Mintz | Obstetrics & Gynecology | 3124 Natoma Cir, Thompsons Station, TN 37179-9605 | 2017-03-13 |
| 1487190914 | Hormones 4 Life LLC | Obstetrics & Gynecology | 3172 Waterfront Dr, Chattanooga, TN 37419-1541 | 2017-01-08 |
| 1972928604 | Eugene Rudd | Obstetrics & Gynecology | 125 Ashewood Dr, Bristol, TN 37620-5939 | 2014-03-05 |
| 1164793105 | James Thurman | Obstetrics & Gynecology | 5160 Mouse Creek Rd Nw, Cleveland, TN 37312-3228 | 2012-01-23 |
| 1881964815 | David Anthony Rueff | Obstetrics & Gynecology | 7621 Carpenter Rd, Knoxville, TN 37931-1122 | 2012-01-06 |
| 1164724878 | Norman Arnold Mckinnon Jr. | Obstetrics & Gynecology | 911 Scarlett Oaks Rd, Maryville, TN 37801-7403 | 2010-12-01 |
| 1477866820 | New South Medical Enterprises | Obstetrics & Gynecology | 2503 Highway 41a Byp, Clarksville, TN 37043-3902 | 2010-07-14 |
| 1609195965 | Fields Center for Womans Health & Robotic Surgery Pllc | Obstetrics & Gynecology | 10810 Parkside Dr Ste 306, Knoxville, TN 37934 | 2010-05-26 |
| 1396987491 | Kalyani Medicherla Kumar | Obstetrics & Gynecology | 411 Sewell Dr, Sparta, TN 38583-1223 | 2009-04-03 |
| Find all providers with the same taxonomy | ||||
| City | JONESBOROUGH |
| Zip Code | 37659 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.