Organization Active NPI

Weatherall Dermatology, P.a.,

  • Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1154616647
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WEATHERALL DERMATOLOGY, P.A.,
Practice address
6877 SW 18TH St
Suite H201
Boca Raton, FL 33433-7046
Phone
(561) 459-5050
Fax
(561) 347-1455
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Dr. Angela Giancola Weatherall, M.D.
Title
Owner
Phone
(561) 459-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6877 SW 18TH St
Suite H201
Boca Raton, FL 33433-7046

Mailing address

6877 SW 18TH St
Suite H201
Boca Raton, FL 33433-7046
Phone (561) 459-5050

National Provider Directory

National Provider Directory

Locations

6877 SW 18th St
Ste H201
Boca Raton, FL 33433
Phone (561) 347-1611

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1154616647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6877 SW 18TH ST",
            "address_2": "SUITE H201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337046",
            "telephone_number": "561-459-5050",
            "fax_number": "561-347-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6877 SW 18TH ST",
            "address_2": "SUITE H201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337046",
            "telephone_number": "561-459-5050",
            "fax_number": "561-347-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERALL DERMATOLOGY, P.A.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "WEATHERALL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "GIANCOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-459-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.