Frederick J Weigand, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME13473 Issued in FL

Practice address

1565 Saxon Blvd
Suite 102
Deltona, FL 32725-5876

Phone

(386) 917-7395

Fax

(386) 532-7152

NPI assigned

Aug 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2183/brand/21/csg/1/fhir/r4

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1003000522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SAXON BLVD STE 102",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255823",
            "telephone_number": "386-917-7395",
            "fax_number": "386-532-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SAXON BLVD",
            "address_2": "SUITE 102",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255876",
            "telephone_number": "386-917-7395",
            "fax_number": "386-532-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGAND",
        "first_name": "FREDERICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME13473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D57592",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Lawrence Wall, MEDICAID WAIVER PROV
• Barry Walters
• Jennah Ward
• Wyatt Warren
• Toneia Ariana Washington, DDS
• Giselle I Weigert, DO
• Wellnessclinic on Wheels
• West Medical
• Shannon Weston-Jossie
• Mildred Wilks O'Neill White, LMHC

• Adult Medicine Physician in Deltona, FL
• Providers in Deltona, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.