Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas Weaver, PA-C

Individual provider Physician Assistant · NPI 1417585654

Thomas Weaver, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2019, 7 years ago. Practices with University Physicians Incorporated, a 3,148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Oklahoma.

Years since qualifying
7
Licensed in
CO, OK
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone: (918) 494-1805
Fax: (918) 494-4573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.0007255 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 3174 (OK)

Record details

NPI number1417585654
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing addressPo Box 110429, Aurora, CO 80042-0429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Physicians Incorporated — 3148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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