Julie McKean Weaver, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

222235 Issued in NY

Practice address

175 Beach 121St St
Rockaway Park, NY 11694-1960

Phone

(347) 334-1658

NPI assigned

Apr 20, 2006

Last updated

Nov 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Hemorrhoid Center of South Florida

  dba Coastal South Medical

  • Gastroenterology Physician
  • North Miami Beach, FL
  • NPI 1275588204
  NPD (past)
• Hemorrhoid Center of South Florida, LLC

  dba Coastal South Medical

  • Health Service Clinic/Center
  • North Miami Beach, FL
  • NPI 1700984747
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1154386100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BEACH 121ST ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941960",
            "telephone_number": "347-334-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BEACH 121ST ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941960",
            "telephone_number": "347-334-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JULIE",
        "middle_name": "MCKEAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "222235",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS9110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amna Waheed
• Walgreen Co (Walgreens #17151)
• Kevin O Waltrous, DMD
• Jacqueline Ward, LPN
• Wave Imaging LLP
• Janice Patricia Weinert, PHYSICAL THERAPIST
• Meghan Rose Werner, M.S. CCC-SLP
• Melanie Beth Wertheim, LMSW
• Derek L Wilder, O.D.
• Munirah Wiley

• General Practice Physician in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.