Mark Weitman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME46324 Issued in FL

Practice address

1770 NE Miami Gardens Dr
Unit 1
North Miami Beach, FL 33179-5301

Phone

(305) 949-4141

Fax

(305) 949-8090

NPI assigned

Feb 9, 2006

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

Practice roles

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

• St Anthony'S Primary Care LLC

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1629029897
  NPD (past)
• Tenet-Solantic Joint Venture LLC

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1104159755
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1013980077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096501",
            "telephone_number": "561-420-8555",
            "fax_number": "888-442-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 NE MIAMI GARDENS DR",
            "address_2": "UNIT 1",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795301",
            "telephone_number": "305-949-4141",
            "fax_number": "305-949-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITMAN",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME46324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080157826",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne R. Porter M.D. P.a.
• We Are Essential, LLC
• Marc K Weinberg, D.C.
• Jose Ruben Weisinger, MD
• Mark L Weiss, DMD, PA
• Jack Robert Weitz, PHD
• West Core Solutions LLC
• West Dixie Care, LLC
• Mary Hill Westra, RN, IBCLC
• Whitecaps Dental PA

• Family Medicine Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.