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

Practice address

646 Virginia St
Suite 701
Dunedin, FL 34698-6612

Phone

(727) 734-9088

Fax

(727) 210-1198

NPI assigned

Jun 18, 2006

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.

Title

Owner

Phone

(727) 734-9088

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Coastal Neurosurgery & Spine Doing business as

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Q0175",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Neurosurgery & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James a. Diienno, D.C., P.a.
• 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.