NPIMap

Individual provider Active NPI

Kathleen M Weaver, M.D.

  • Orthopaedic Surgery Physician
  • Mexico, MO
National Provider Identifier
1376748491
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2000161967 Issued in MO
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
Last updated
Jul 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2000161967 MO Primary

Addresses

Primary 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100702000511 MO Practitioner - Orthopedic Surgery 2163565904 Reassigns benefits to 2 organizations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2000161967MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland County Memorial Hospital Current Accepting new patients
Audrain Orthopaedics, PC Orthopaedic Surgery CurrentSince Mar 4, 2003 Accepting new patients
Scotland County Memorial Hospital CurrentSince Jun 1, 2012 Accepting new patients
Scotland County Memorial Hospital CurrentSince Jun 1, 2012 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.