Stewart R Weaver (NPI# 1528399375, PAC ID# 6103072038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1528399375 |
| PAC ID by PECOS | 6103072038 |
| Professional Enrollment ID | I20120809000156 |
| Full Name | Stewart R Weaver |
| Organization Legal Name | CLARK CHIROPRACTIC CLINIC |
| Address |
6301 Eastridge Rd Odessa TX 79762-5045 |
| Phone Number | 4323375553 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2365509379 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 6301 Eastridge Rd, Odessa, TX 79762-5045 | 4323375553 | CLARK CHIROPRACTIC CLINIC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_182_overall | Functional Outcome Assessment | 99% |
| Organization Legal Name | CLARK CHIROPRACTIC CLINIC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher D Cummins | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Christian L Tschauner | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Jordan E Brown | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| James W Kirk | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Bobby R Richter | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Street Address |
6301 EASTRIDGE RD |
| City | ODESSA |
| State | TX |
| Zip | 79762-5045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher D Cummins | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Christian L Tschauner | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Jordan E Brown | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| James W Kirk | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Bobby R Richter | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Wyman Wan | Family Practice | Michael V Shelton Md Pa | 3051 E University Dr, Odessa, TX 79762 |
| Rickey W Hamby Jr. | Family Medicine | 6110 Eastridge Rd, Odessa, TX 79762-5002 | |
| Nalin Tolia | Ophthalmology | Nalin H Tolia Pa | 6005 Eastridge Rd, Odessa, TX 79762-5021 |
| Rebecca A Sanchez | Physician Assistant | Arlington Orthopedic Associates Pa | 6010 E Hwy 191, Suite 125, Odessa, TX 79762-5042 |
| James J Harper | Optometry | 6018 Eastridge Rd, Odessa, TX 79762-5056 | |
| Alexis Lizbeth Hernandez | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Siria M Dutchover | Occupational Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Jarrett W Lange | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Wade H Shelby | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Denise A Manley | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Find all physicians in zip 79762 | |||
| City | ODESSA |
| Zip Code | 79762 |
| Specialty | CHIROPRACTIC |
| City + Specialty | ODESSA + CHIROPRACTIC |
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| 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.