Weston Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

60178 Issued in FL

Legal business name

WESTON DERMATOLOGY LLC

Practice address

1040 Weston Rd
Suite 105
Weston, FL 33326-1978

Phone

(954) 384-6262

Fax

(954) 384-1202

NPI assigned

Nov 6, 2009

Last updated

Nov 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn Barry Sterling, M.D.NPI 1699807271

Title

Managing Member

Phone

(954) 384-6262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenn Barry Sterling, M.D.

  • Dermatology Physician
  • Weston, FL
  • NPI 1699807271
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1164759478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WESTON RD",
            "address_2": "SUITE 105",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261978",
            "telephone_number": "954-384-6262",
            "fax_number": "954-384-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WESTON RD",
            "address_2": "SUITE 105",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261978",
            "telephone_number": "954-384-6262",
            "fax_number": "954-384-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTON DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-384-6262",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "60178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Weston Eye Care Center, LLC
• Weston Eye Care LLC
• Weston Eye Center, Inc.

• Dermatology Physician in Weston, FL
• Providers in Weston, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.