Active NPI
Jeffrey Weinheimer, D.O.
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1043645146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS13485
- Practice address
- 6000 Lake Ellenor Dr
Orlando, FL 32809-4615 - Phone
- (407) 636-6196
- Fax
- (407) 438-0840
- NPI assigned
- Sep 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | DOOS13485 | FL | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | OS13485 | FL | |
| Family Medicine Physician | 207Q00000X | OS13485 | FL | Primary |
| Family Medicine Physician | 207Q00000X | UO3376 | FL |
Addresses
Primary practice location
6000 Lake Ellenor Dr
Orlando, FL 32809-4615
Mailing address
6000 Lake Ellenor Dr
Orlando, FL 32809-4615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS13485 | Other | FL | DO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO3376 | FL | MD | Family Medicine Physician |
| DOOS13485 | FL | MD | Addiction Medicine (Family Medicine) Physician |
| OS13485 | FL | MD | Addiction Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1043645146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 LAKE ELLENOR DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328094615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 LAKE ELLENOR DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328094615",
"telephone_number": "407-636-6196",
"fax_number": "407-438-0840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINHEIMER",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-08",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "FL",
"license": "DOOS13485",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "FL",
"license": "OS13485",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS13485",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "UO3376",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DO",
"identifier": "OS13485",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.