Geoffrey S Weisbaum, DO

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME0004181 Issued in FL

Practice address

9450 E Broadview Dr
Bay Harbor Islands, FL 33154-1916

Phone

(305) 431-7053

NPI assigned

Apr 22, 2006

Last updated

Jul 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Firstpath PA

  dba North Ridge Pathology Physicians

  • Anatomic Pathology & Clinical Pathology Physician
  • Oakland Park, FL
  • NPI 1821192147
  NPD (past)

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1316903917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 E BROADVIEW DR",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331541916",
            "telephone_number": "305-431-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 E BROADVIEW DR",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331541916",
            "telephone_number": "305-431-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBAUM",
        "first_name": "GEOFFREY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME0004181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "82556",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277364300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Astrid Paola Villamil
• Luis Diego Villani, M.D.
• Diane Walder, M.D.
• Rosane Sprintzin Wechsler, LCSW
• Erin Weinbrum, P.T.
• Michael Weiss
• John Louis Whitehead, DO
• Witcorf, Inc.
• Wittels Orthopaedic & Sports Medicine Center PA
• Michael B. Wittels, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Bay Harbor Islands, FL
• Providers in Bay Harbor Islands, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.