Thomas Weaver, PA-C

Surgical Physician Assistant · Tulsa, OK

Individual Active NPI

NPI number 1417585654

Practice location

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone
(918) 494-1805
Fax
(918) 494-4573

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NPI record

NPI
1417585654
Entity type
Individual (Type 1)
Enumeration date
April 1, 2020
Last updated
December 15, 2022
Certified
December 15, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X PA.0007255 CO
Physician Assistant 363A00000X 3174 OK

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations (1)

  • 12605 E 16th Ave, Aurora, CO 80045-2545 · (720) 848-0000

About Thomas Weaver

Thomas Weaver, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 6161 S Yale Ave, Tulsa, OK 74136-1902. The NPI number 1417585654 was assigned on April 1, 2020 and the record was last updated on December 15, 2022.

Thomas Weaver lists 2 licenses in the registry: #PA.0007255 (CO) for Surgical Physician Assistant; #3174 (OK) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Weaver, PA-C?

The NPI number is 1417585654.

What is the phone number of Thomas Weaver?

The phone number listed for the practice location is (918) 494-1805.

Where is Thomas Weaver located?

6161 S Yale Ave, Tulsa, OK 74136-1902.

What is the taxonomy code for Thomas Weaver?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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