Harborside Gastroenterology

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME32540 Issued in FL

Legal business name

HARBORSIDE GASTROENTEROLOGY

Doing business as

eric d weston md facg

Practice address

401 Corbett Street
Suite 350
Clearwater, FL 33756-7309

Phone

(727) 298-0802

Fax

(727) 298-0272

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Barabara A Baccari

Title

Practice Administrator

Phone

(727) 298-0802

Specialties & licenses 1

Addresses

Other names 1

• eric d weston md facg Doing business as

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1104012681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CORBETT STREET",
            "address_2": "SUITE 350",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-298-0802",
            "fax_number": "727-298-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORBETT STREET",
            "address_2": "SUITE 350",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337567309",
            "telephone_number": "727-298-0802",
            "fax_number": "727-298-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "BACCARI",
        "authorized_official_first_name": "BARABARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "727-298-0802"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME32540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eric d weston md facg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Hansen
• Jinjer Alexa Hanshew, DNP, APRN, CRNA
• Michelle Hanson, LMT
• Happy Birth Way
• Harb Enterprises LLC (Midway Manor ALF)
• Harbourwood Facility Inc (Harbourwood Care Center)
• Harbourwood FL Opco LLC
• Harbourwood Opco LLC (Vivo Healthcare Harbourwood)
• Melissa Hardeman, LPC
• Melody Hardway, RN-ANP

• Gastroenterology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.