Jed P Weber, M.D.,LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9102790 Issued in FL

Legal business name

JED P WEBER, M.D.,LLC

Doing business as

Coastal Neurosurgery & Spine

Practice address

646 Virginia St
Suite 701
Dunedin, FL 34698-6612

Phone

(727) 734-9088

Fax

(727) 210-1198

NPI assigned

Jun 18, 2006

Last updated

Jun 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jed Paul Weber, M.D.NPI 1992749352

Title

Owner

Phone

(727) 734-9088

Specialties & licenses 4

Addresses

Other names 1

• Coastal Neurosurgery & Spine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jed P Weber, MD

  • Neurological Surgery Physician
  • Dunedin, FL
  • NPI 1992749352
  Authorized official Same address or phone

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1003851619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 VIRGINIA ST",
            "address_2": "SUITE 701",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986612",
            "telephone_number": "727-734-9088",
            "fax_number": "727-210-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 VIRGINIA ST",
            "address_2": "SUITE 701",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986612",
            "telephone_number": "727-734-9088",
            "fax_number": "727-210-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JED P WEBER, M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-734-9088",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102790",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA2726",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102790",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Neurosurgery & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James a. Diienno, D.C., P.a. (Romeo Chiropractic Center)
• James Phillip Long DPM PA
• James R. Kinney Jr., Psy.D., P.L.L.C.
• Jamie Goodman D.C, P.a.
• Katherine Javier, M.S. CCC-SLP
• Jennifer B Buck MD PA
• Mark Allen Johnson, DMD
• Todd M Johnson, DO
• Brittany Lee Jones
• Caitlin Jones, M.S., CCC-SLP

• Medical Physician Assistant in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.