Jack T Weaver DPM DO MD PA
NPI 1063583904 · Family Medicine Physician · Orlando, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack T Weaver DPM DO MD PA is a Family Medicine Physician organization in Orlando, FL (NPI 1063583904).
Provider details
- NPI number
- 1063583904
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Howard Weaver, Physician(407) 894-1931
- License
- OS0005348 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2009-12-08
Frequently asked questions
- What is Jack T Weaver DPM DO MD PA's NPI number?
- Jack T Weaver DPM DO MD PA's National Provider Identifier (NPI) is 1063583904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack T Weaver DPM DO MD PA?
- Jack T Weaver DPM DO MD PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jack T Weaver DPM DO MD PA located?
- Jack T Weaver DPM DO MD PA's practice location on file with NPPES is 3120 Corrine Dr, Orlando, FL 32803-2206.
- What is Jack T Weaver DPM DO MD PA's phone number?
- The practice phone number listed in the NPPES registry for Jack T Weaver DPM DO MD PA is (407) 894-1931.
- Does Jack T Weaver DPM DO MD PA accept Medicare?
- Jack T Weaver DPM DO MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jack T Weaver DPM DO MD PA?
- The authorized official listed on Jack T Weaver DPM DO MD PA's NPPES record is Howard Weaver, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack T Weaver DPM DO MD PA's NPI active?
- Yes — Jack T Weaver DPM DO MD PA's NPI (1063583904) is active in the NPPES registry as of the last update on 2009-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.