Jennifer L. Weymouth, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

12895 Issued in NH

Practice address

3501 Rice St Ste 2018
Lihue, HI 96766-1764

Phone

(808) 212-7007

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Kauai Veterans Memorial Hospital

  • Critical Access Hospital
  • Waimea, HI
  • NPI 1467510743
  Medicare reassignment NPD
• Pacific Vascular Associates, LLC

  • Vascular Surgery Physician
  • Aiea, HI
  • NPI 1154888014
  Medicare reassignment
• Weymouth Surgical

  • Surgery Physician
  • Lihue, HI
  • NPI 1972467579
  NPD (past) Authorized official
• Kauai Veterans Memorial Hospital

  • Specialist
  • Waimea, HI
  • NPI 1467620328
  NPD
• Samuel Mahelona Memorial Hospital

  • Rural Health Clinic/Center
  • Koloa, HI
  • NPI 1033705074
  NPD
• Samuel Mahelona Memorial Hospital

  • Psychiatric Hospital Unit
  • Kapaa, HI
  • NPI 1255406575
  NPD
• Samuel Mahelona Memorial Hospital

  • Specialist
  • Kapaa, HI
  • NPI 1346419553
  NPD
• Kauai Care Center, LLC

  • Skilled Nursing Facility
  • Kauai, HI
  • NPI 1689618308
  NPD (past)
• Burke Medical Group LTD

  • Family Medicine Physician
  • Olympia Fields, IL
  • NPI 1083826713
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1790869840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 RICE ST STE 2018",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661764",
            "telephone_number": "808-212-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 RICE ST STE 2018",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661764",
            "telephone_number": "808-212-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYMOUTH",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "12895",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "219696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30224519",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany K Wakumoto, D.P.T.
• Walmart Inc.
• Mary Weckback, RDH, OMT
• Elicia M. Wetherington
• Weymouth Surgical
• Jennifer Anne White
• Wilcox Memorial Hospital
• Wilcox Memorial Hospital
• Wilcox Memorial Hospital Outpatient Pharmacy
• James Clinton Wilkes III

• Surgery Physician in Lihue, HI
• Providers in Lihue, HI by specialty
• Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.