Individual provider Active NPI

Johanna Leighann Weir, PA-C

  • Medical Physician Assistant
  • Bartlesville, OK
National Provider Identifier
1740499730
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1668 Issued in OK
Practice address
400 SE Frank Phillips Blvd
Bartlesville, OK 74003-3644
Phone
(918) 333-3136
Fax
(918) 333-3169
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1668 OK Primary

Addresses

Primary practice location

400 SE Frank Phillips Blvd
Bartlesville, OK 74003-3644

Mailing address

PO Box 218
Chelsea, OK 74016-0218
Phone (918) 333-3136

Other names 1

  • Johanna Leighann Higgins Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080521000472 OK Practitioner - Physician Assistant 6800965500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations Family Medical Clinic LLCGroup PAC ID 9032218029, 6 clinicians

Practice addresses (Care Compare)

400 SE Frank Phillips Blvd
Bartlesville, OK 74003-3644
Phone (918) 333-3136

Hospital & facility affiliations

  • Angels Care Home Health of East Oklahoma Home health agency, Broken Arrow, OK, CCN 377171
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1668OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients
Ahs Oklahoma Physician Group LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: weir.joanna.1@11499.direct.athenahealth.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1740499730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "CHELSEA",
            "state": "OK",
            "postal_code": "740160218",
            "telephone_number": "918-333-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SE FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033644",
            "telephone_number": "918-333-3136",
            "fax_number": "918-333-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "JOHANNA",
        "middle_name": "LEIGHANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "HIGGINS",
            "middle_name": "LEIGHANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.