Individual provider Active NPI

Shawn Michael Weeks, D.O.

  • Emergency Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1033594288
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T3061 Issued in MS
Practice address
2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone
(850) 325-5000
NPI assigned
Jul 29, 2015
Last updated
Jan 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T3061 MS Primary
Surgery Physician 208600000X UO4243 FL

Addresses

Primary practice location

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402

Mailing address

2300 Bluff Oak Way Apt 6304
Tallahassee, FL 32311-6133
Phone (402) 681-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VI, MS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200505000750 FL Practitioner - Emergency Medicine 8628329679 Reassigns benefits to 3 organizations
I20211130000064 VI Practitioner - Emergency Medicine 8628329679 Reassigns benefits to 1 organization
I20211223001563 MS Practitioner - Emergency Medicine 8628329679 Reassigns benefits to 1 organization
I20231101001022 FL Practitioner - General Practice 8628329679

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Bay Emergency Physicians-Heartland LLCGroup PAC ID 0749577781, 45 clinicians

Practice addresses (Care Compare)

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 314-4466

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T3061MSMDEmergency Medicine Physician
UO4243FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provision Therapy, LLC CurrentSince Oct 1, 2023 Accepting new patients
Tampa Bay Emergency Physicians-Heartland LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Leake Emergency Group, LLC Emergency Medicine CurrentSince Nov 15, 2021 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Dec 1, 2021 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Dec 1, 2021 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1033594288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BLUFF OAK WAY APT 6304",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323116133",
            "telephone_number": "402-681-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084402",
            "telephone_number": "850-325-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "T3061",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "UO4243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.