Individual provider Active NPI

Lawrence Michael Weiss, M.D.

  • Gastroenterology Physician
  • Clearwater, FL
National Provider Identifier
1215026158
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME68174 Issued in FL
Practice address
508 Jeffords St
Suite D
Clearwater, FL 33756-3839
Phone
(727) 443-7700
Fax
(727) 461-4379
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME68174 FL Primary

Addresses

Primary practice location

508 Jeffords St
Suite D
Clearwater, FL 33756-3839

Mailing address

508 Jeffords St
Suite D
Clearwater, FL 33756-3839
Phone (727) 443-7700

Other identifiers 1

IdentifierTypeStateIssuer
378580700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000078 FL Practitioner - Gastroenterology 6103950381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York Medical College, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians

Practice addresses (Care Compare)

508 Jeffords St D
Clearwater, FL 33756-3839
Phone (727) 443-7700

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy81
Upper gastrointestinal (GI) endoscopy for acid reflux104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Gastroenterology LLP Gastroenterology CurrentSince Aug 15, 2010 Accepting new patients
Gastroenterology Consultants of Clearwater Gastroenterology PastSince Aug 15, 2010 Accepting new patients

Locations

508 Jeffords St
Ste D
Clearwater, FL 33756
Phone (727) 442-4188

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

646 Virginia St
Fl 2
Dunedin, FL 34698
Phone (727) 443-7700

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1215026158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 JEFFORDS ST",
            "address_2": "SUITE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563839",
            "telephone_number": "727-443-7700",
            "fax_number": "727-461-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 JEFFORDS ST",
            "address_2": "SUITE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563839",
            "telephone_number": "727-443-7700",
            "fax_number": "727-461-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LAWRENCE",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME68174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378580700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.