Individual provider Active NPI

Cynthia J Weston, ARNP

  • Dermatology Physician
  • Port Richey, FL
National Provider Identifier
1063684991
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ARNP9259947 Issued in FL
Practice address
8220 US 19 North
Port Richey, FL 34668
Phone
(727) 841-8505
Fax
(727) 846-0561
NPI assigned
Apr 1, 2008
Last updated
Jan 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ARNP9259947 FL Primary

Addresses

Primary practice location

8220 US 19 North
Port Richey, FL 34668

Mailing address

8220 US 19 North
Port Richey, FL 34668
Phone (727) 841-8505

Other names 1

  • Cynthia J Leibig Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000195 FL Practitioner - Nurse Practitioner 4688732472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Dermatology and Cosmetic Surgery P aGroup PAC ID 7517851215, 25 clinicians

Practice addresses (Care Compare)

7739 S Suncoast Blvd
Homosassa, FL 34446-5004
Phone (352) 688-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Dermatology and Cosmetic Surgery P a Dermatology CurrentSince Jul 18, 2010 Accepting new patients
Kratz Allergy Asthma & Immunology Associates PA Past Accepting new patients

Locations

7739 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 503-2002

1009 Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 264-5447

8202 Washington St
Ste 4
Port Richey, FL 34668
Phone (561) 254-0787

8220 US Highway 19
Port Richey, FL 34668
Phone (727) 585-8591

2525 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 585-8591

2525 Pasadena Ave S
Ste S
South Pasadena, FL 33707
Phone (727) 360-0853

1130 Commercial Way
Spring Hill, FL 34606
Phone (352) 688-5544

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1063684991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 US 19 NORTH",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "34668",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 US 19 NORTH",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "34668",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ARNP9259947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "LEIBIG",
            "middle_name": "J",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.