Kimberly M. Weaver, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

24587 Issued in OK

Practice address

1312 North Harville Rd
Duncan, OK 73533

Phone

(580) 470-9800

Fax

(580) 470-9802

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Kimberly M. Hennan Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Texas Medical Branch at Galveston, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kimberly M Weaver MD PCGroup PAC ID 0840344131, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
• Grady Memorial Hospital Hospital, Chickasha, OK, CCN 370054
• O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
• Norman Regional Hospital, Norman, OK, CCN 370008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kimberly M. Weaver, MD, PC

  • Obstetrics & Gynecology Physician
  • Duncan, OK
  • NPI 1639307481
  Medicare reassignment Care Compare group NPD Authorized official
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Duncan Regional Hospital, Inc.

  • Rural Acute Care Hospital
  • Duncan, OK
  • NPI 1851396394
  Care Compare affiliation
• Grady Memorial Hospital

  • General Acute Care Hospital
  • Chickasha, OK
  • NPI 1538169198
  Care Compare affiliation
• Norman Regional Hospital Authority

  dba Norman Regional

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  Care Compare affiliation
• Ou Medicine Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1649794157
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1194861021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 NORTH HARVILLE RD",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "73533",
            "telephone_number": "580-470-9800",
            "fax_number": "580-470-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 NORTH HARVILLE RD",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "73533",
            "telephone_number": "580-470-9800",
            "fax_number": "580-470-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KIMBERLY",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "24587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200250690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HENNAN",
            "middle_name": "M.",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy Paul Walker, O.D.
• Alisha Suzanne Ward, MS, LADC-MH
• Christopher Adam Ward
• Preston A Waters, M.D.
• Sallie Jane Waters, M.D.
• Ramsey Webb, COTA/L
• Jessica Renee Weddington-Nunez, RD
• Carol Ann Weddle, ARNP
• Robert James Weedn, M.D.
• Well Beings Therapy

• Obstetrics & Gynecology Physician in Duncan, OK
• Providers in Duncan, OK by specialty
• Obstetrics & Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.