Organization Active NPI

Sherwood a. Weisman, D.P.M., P.a.

  • Durable Medical Equipment & Medical Supplies
  • Debary, FL
National Provider Identifier
1093980914
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
P0687 Issued in FL
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

Updated by the provider on Apr 23, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
041091800MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.