Steven R Weasen, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD033733E Issued in PA

Practice address

1930 S Broad St Ste 21
Philadelphia, PA 19145-2328

Phone

(215) 463-3939

Fax

(877) 437-7288

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet M Mendel, PA-C

  • Medical Physician Assistant
  • Moorestown, NJ
  • NPI 1457495459

  PA

  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennsylvania Dermatology Partners Inc

  • Dermatology Physician
  • West Lawn, PA
  • NPI 1023382918
  Medicare reassignment NPD
• Steven R Weasen

  • Specialist
  • Philadelphia, PA
  • NPI 1215973821
  NPD (past) Authorized official

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1104880699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 BEN FRANKLIN HWY E",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195088772",
            "telephone_number": "610-288-2908",
            "fax_number": "610-898-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST STE 21",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "215-463-3939",
            "fax_number": "877-437-7288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Floral Vale Blvd",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190675524",
            "country_code": "US",
            "telephone_number": "215-860-6100",
            "fax_number": "877-437-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEASEN",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD033733E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• We Kira a Lot Homecare,LLC
• We Will Take Care of You Agency LLC
• Bernadette Nolan Weachter
• Weallcare Home Health LLC
• Tracy Nicole Weant, LCSW
• Joy Marie Weatherill, SLP
• Shannon Weathers, PHARMD
• Jessica Weatherwax, CRNP
• Amybeth Weaver, LCGC
• Bridget Weaver, LPC

• Dermatology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.