Individual provider Active NPI

Dana James Weinkle, M.D.

  • Ophthalmology Physician
  • Bradenton, FL
National Provider Identifier
1003807116
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME45451 Issued in FL
Practice address
5601 21St Ave W
Suite a
Bradenton, FL 34209-5642
Phone
(941) 794-2020
Fax
(941) 792-3464
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME45451 FL Primary

Addresses

Primary practice location

5601 21St Ave W
Suite a
Bradenton, FL 34209-5642

Mailing address

2423 Landings Cir
Bradenton, FL 34209-9675
Phone (941) 792-2509

Other identifiers 1

IdentifierTypeStateIssuer
180043832OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20101227000720 FL Practitioner - Ophthalmology 6901878370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME45451FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Coast Eye Center, P.a. Ophthalmology CurrentSince Jan 12, 1999 Accepting new patients
Palm Coast Eyewear, LLC PastSince Aug 1, 2005 Accepting new patients
Palm Coast Eye Center, P.a. Ophthalmology Past Accepting new patients
Palm Coast Eyewear, LLC Past Accepting new patients

Locations

5601 21st Ave W
Ste A
Bradenton, FL 34209
Phone (941) 777-5000

3131 S Tamiami Trl
Ste 201
Sarasota, FL 34239
Phone (941) 777-5000

Interoperability endpoints

  • Direct secure messaging: direct@palmcoasteyecenterbradentonfl.compulinkdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1003807116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 LANDINGS CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342099675",
            "telephone_number": "941-792-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 21ST AVE W",
            "address_2": "SUITE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095642",
            "telephone_number": "941-794-2020",
            "fax_number": "941-792-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINKLE",
        "first_name": "DANA",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME45451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180043832",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.