Active NPI
Kathleen M Weaver, M.D.
- Orthopaedic Surgery Physician
- Mexico, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2000161967
- Practice address
- 626 E Summit St
Suite B
Mexico, MO 65265-3298 - Phone
- (573) 582-0444
- Fax
- (573) 582-0438
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Mexico, MO
- NPI 1356327894
MO, Orthopaedic Surgery
-
- Family Medicine Physician
- Edina, MO
- NPI 1568092732
-
- Family Medicine Physician
- Memphis, MO
- NPI 1578761060
-
- Orthopaedic Surgery Physician
- Midland, TX
- NPI 1083849152
Orthopaedic Surgery
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
Hospital
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
Hospital
-
- Rural Acute Care Hospital
- Hannibal, MO
- NPI 1922042704
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of California, Irvine, California College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
626 E Summit St
Suite B
Mexico, MO 65265-3298
Phone (573) 582-0444
Hospital & facility affiliations
- Boone Hospital Center
- Moberly Regional Medical Center
- University of Missouri Health Care
- Hannibal Regional Hospital
- Monroe Manor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100702000511 | MO | Practitioner - Orthopedic Surgery | 2163565904 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000161967 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audrain Orthopaedics, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Scotland County Memorial Hospital | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Current | Accepting new patients | |
| Midland Orthopedic Specialists Group | Orthopaedic Surgery | Past | Accepting new patients |
Locations
450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828
626 E Summit St
Ste B
Mexico, MO 65265
Phone (573) 582-0444
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2000161967 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
626 E Summit St
Suite B
Mexico, MO 65265-3298
Mailing address
626 E Summit St
Suite B
Mexico, MO 65265-3298
Phone (573) 582-0444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2007.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1376748491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 E SUMMIT ST",
"address_2": "SUITE B",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653298",
"telephone_number": "573-582-0444",
"fax_number": "573-582-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 E SUMMIT ST",
"address_2": "SUITE B",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653298",
"telephone_number": "573-582-0444",
"fax_number": "573-582-0438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2000161967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mexico, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.