Active NPI
Sherwood a. Weisman, D.P.M., P.a.
- Durable Medical Equipment & Medical Supplies
- Debary, FL
National Provider Identifier
1093980914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- P0687
- Legal business name
- SHERWOOD A. WEISMAN, D.P.M., P.A.
- Practice address
- 75 Fox Ridge CT
Suite E
Debary, FL 32713-2701 - Phone
- (386) 668-5744
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sherwood A. Weisman, D.P.M.
- Title
- Doctor
- Phone
- (386) 668-5744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P0687 | FL | Primary |
Addresses
Primary practice location
75 Fox Ridge CT
Suite E
Debary, FL 32713-2701
Mailing address
75 Fox Ridge CT
Suite E
Debary, FL 32713-2701
Phone (386) 668-5744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041091800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
75 Fox Ridge Ct
Ste E
Debary, FL 32713
Phone (386) 668-5744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1093980914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FOX RIDGE CT",
"address_2": "SUITE E",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132701",
"telephone_number": "386-668-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FOX RIDGE CT",
"address_2": "SUITE E",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132701",
"telephone_number": "386-668-5744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERWOOD A. WEISMAN, D.P.M., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "WEISMAN",
"authorized_official_first_name": "SHERWOOD",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "386-668-5744",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "P0687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041091800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Debary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.