Organization Active NPI

S.G. Weiss, M.D., Inc.

  • Specialist
  • Clearwater, FL
National Provider Identifier
1013316595
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0044131 Issued in FL
Legal business name
S.G. WEISS, M.D., INC.
Practice address
3251 N McMullen Booth Rd
Suite 300
Clearwater, FL 33761-2022
Phone
(727) 791-3337
Fax
(727) 725-2577
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Dr. Steven G Weiss, M.D.
Title
Owner
Phone
(727) 791-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0044131 FL Primary

Addresses

Primary practice location

3251 N McMullen Booth Rd
Suite 300
Clearwater, FL 33761-2022

Mailing address

3251 N McMullen Booth Rd
Suite 300
Clearwater, FL 33761-2022
Phone (727) 791-3337

Other identifiers 1

IdentifierTypeStateIssuer
069588200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1013316595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 300",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-791-3337",
            "fax_number": "727-725-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 300",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-791-3337",
            "fax_number": "727-725-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.G. WEISS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-791-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "0044131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069588200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.