Jonathan R. Weiser

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME62894 Issued in FL

Legal business name

JONATHAN R. WEISER

Practice address

3449 Johnson St
Hollywood, FL 33021-5420

Phone

(954) 964-4113

Fax

(954) 963-8121

NPI assigned

Mar 13, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Wanda Ditthardt

Title

Office Manager

Phone

(954) 964-4113

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Jonathan R Weiser2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jonathan R Weiser MD PA

  • Plastic and Reconstructive Surgery Physician
  • Hollywood, FL
  • NPI 1396091625
  NPD tax ID

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1154714269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215420",
            "telephone_number": "954-964-4113",
            "fax_number": "954-963-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215420",
            "telephone_number": "954-964-4113",
            "fax_number": "954-963-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN R. WEISER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "DITTHARDT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-964-4113",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME62894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "208183",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17993",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Johnson
• Kira Tanaye Johnson, MSW
• Geethu Johny, M.S.
• Mitchell G Jomsky, D.C.
• Jonathan R Weiser MD PA
• Andrew C Jones, M.D.
• Cheryl Lynn Jones, PT
• David T Jones, M.D., PHD
• Joanne Jones, LMFT
• Jordan Jones

• Specialist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.