Kenneth L Weaver (NPI# 1578527412, PAC ID# 0042365603) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1578527412 |
| PAC ID by PECOS | 0042365603 |
| Professional Enrollment ID | I20090902000701 |
| Full Name | Kenneth L Weaver |
| Organization Legal Name | BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA |
| Address |
5 Saint Vincent Cir Suite 100 Little Rock AR 72205-5415 |
| Phone Number | 5016636455 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3971580903 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040147 | ARKANSAS SURGICAL HOSPITAL |
| 040007 | CHI-ST VINCENT INFIRMARY |
| Address | Phone | Organization |
|---|---|---|
| 5 Saint Vincent Cir, Suite 100, Little Rock, AR 72205-5415 | 5016636455 | BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA |
| Organization Legal Name | BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William F Hefley Jr. | Orthopedic Surgery | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 4300 Landers Rd, North Little Rock, AR 72117-2525 |
| Jesse Burks | Podiatry | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 5 Saint Vincent Cir, Suite 100, Little Rock, AR 72205-5415 |
| David M Rhodes | Hand Surgery | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 1300 Braden St, Jacksonville, AR 72076-3719 |
| Matthew W Thornton | Physical Therapy | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 4300 Landers Rd, North Little Rock, AR 72117-2525 |
| Madeline R Richmond | Physician Assistant | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 4300 Landers Rd, North Little Rock, AR 72117-2525 |
| Christian C Perry | Physician Assistant | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 5 Saint Vincent Cir, Suite 100, Little Rock, AR 72205-5415 |
| Jason G Stewart | Orthopedic Surgery | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 1300 Braden St, Jacksonville, AR 72076-3719 |
| William S Bowen | Orthopedic Surgery | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 4300 Landers Rd, North Little Rock, AR 72117-2525 |
| Ralph S Longinotti | Physical Therapy | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 5 Saint Vincent Cir, Suite 100, Little Rock, AR 72205-5415 |
| Sarah Marie Calaway | Physician Assistant | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 1300 Braden St, Jacksonville, AR 72076-3719 |
| Street Address |
5 SAINT VINCENT CIR SUITE 100 |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72205-5415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad A Thomas | Neurosurgery | Little Rock Neurosurgery Clinic, Pa | 5 Saint Vincent Cir, Suite 502, Little Rock, AR 72205-5414 |
| Brian Bean | Internal Medicine | St Vincent Medical Group | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 |
| Bradley S Boop | Neurology | St Vincent Medical Group | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 |
| Becca C Austin | Nurse Practitioner | St Vincent Medical Group | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 |
| Mark Dyer | Internal Medicine | St Vincent Medical Group | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 |
| Zulekha Hamid | Endocrinology | St Vincent Medical Group | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 |
| Alina M Voinea | Rheumatology | St Vincent Medical Group | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 |
| Brad P Baltz | Hematology/oncology | St Vincent Medical Group | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 |
| Jesse Burks | Podiatry | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 5 Saint Vincent Cir, Suite 100, Little Rock, AR 72205-5415 |
| Umair Afzal | Neurology | St Vincent Medical Group | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Marie Cossey | Nurse Practitioner | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| Paula J Sargent | Nurse Practitioner | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| David P Dean | General Surgery | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| Octavio Herrera-verdugo | Vascular Surgery | 1225 Breckenridge Dr, Suite 110, Little Rock, AR 72205-1565 | |
| Charlotte Chapple | Certified Registered Nurse Anesthetist (crna) | 212 Natural Resources Dr, Little Rock, AR 72205-1573 | |
| William L Rutledge | General Practice | 9712 W Markham St, Little Rock, AR 72205-2124 | |
| Victor B Williams | General Surgery | Surgical Associates of Arkansas | 9712 W Markham St, Little Rock, AR 72205-2124 |
| Ralonda Greer | Certified Clinical Nurse Specialist (cns) | Surgical Associates of Arkansas | 9712 W Markham St, Little Rock, AR 72205-2124 |
| James A Washburn | Podiatry | 10020 W Markham St, Little Rock, AR 72205-2130 | |
| Stephen L Clark | Psychologist, Clinical | Living Hope Southeast LLC | 10025 W Markham St, Suite 210, Little Rock, AR 72205-2178 |
| Find all physicians in zip 72205 | |||
| City | LITTLE ROCK |
| Zip Code | 72205 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LITTLE ROCK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kenneth L Weaver.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.