Richard Weizenecker, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME13858 Issued in FL

Legal business name

RICHARD WEIZENECKER, M.D., P.A.

Doing business as

Richard Weizenecker, M.D., P.A.

Practice address

1297 SW State Road 47
Lake City, FL 32025-0484

Phone

(386) 752-4711

Fax

(386) 752-5075

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Richard Albert Weizenecker, M.D.

Title

President

Phone

(386) 752-4711

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richard Weizenecker, M.D., P.A. Doing business as

Locations

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1114351830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 SW STATE ROAD 47",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250484",
            "telephone_number": "386-752-4711",
            "fax_number": "386-752-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 SW STATE ROAD 47",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250484",
            "telephone_number": "386-752-4711",
            "fax_number": "386-752-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD WEIZENECKER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "WEIZENECKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-752-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME13858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054014500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard Weizenecker, M.D., P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Rhoden
• Cathy Rhodes, LMT
• Arlana Rice
• Tameika Rice
• Richard G Valenzuela MD PA
• Ashley May Richardson, COTA
• Tiffany S Richardson, MSW
• Thomas Ricks
• Melissa Kay Riddle
• Pastor H Rios, M.D.

• Internal Medicine Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.