Individual provider Active NPI

Stephen David Weissman, DPM

  • Podiatrist
  • Naples, FL
National Provider Identifier
1124201173
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3352 Issued in FL
Practice address
1333 3Rd Ave S
Ste 504
Naples, FL 34102-6538
Phone
(239) 260-5181
Fax
(239) 260-5183
NPI assigned
Dec 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3352 FL Primary

Addresses

Primary practice location

1333 3Rd Ave S
Ste 504
Naples, FL 34102-6538

Mailing address

1333 3Rd Ave S
Ste 504
Naples, FL 34102-6538
Phone (239) 260-5181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3352FLMDPodiatrist
744WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kelly Malinoski LLC Podiatrist CurrentSince Jan 19, 2020 Accepting new patients

Locations

1333 3rd Ave S
Ste 504
Naples, FL 34102
Phone (239) 260-5181

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1124201173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 3RD AVE S",
            "address_2": "STE 504",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026538",
            "telephone_number": "239-260-5181",
            "fax_number": "239-260-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 3RD AVE S",
            "address_2": "STE 504",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026538",
            "telephone_number": "239-260-5181",
            "fax_number": "239-260-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "STEPHEN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.