NPIMap

Organization Active NPI

Southwest Volusia Medical Assoc.

  • Adult Medicine Physician
  • Deltona, FL
National Provider Identifier
1336172626
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
SOUTHWEST VOLUSIA MEDICAL ASSOC.
Practice address
1565 Saxon Blvd.
Ste 202
Deltona, FL 32725
Phone
(386) 789-5550
Fax
(386) 532-7152
NPI assigned
Jul 9, 2006
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Mr. Frederick Joseph Weigand, M.D.NPI 1003000522
Title
Dr.
Phone
(386) 789-5550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13473 FL
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

1565 Saxon Blvd.
Ste 202
Deltona, FL 32725

Mailing address

1565 Saxon Blvd.
Ste 202
Deltona, FL 32725
Phone (386) 789-5550

Other identifiers 1

IdentifierTypeStateIssuer
035188100MedicaidFL

Other names 1

  • Florida Hospital Fish Memorial Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1336172626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SAXON BLVD.",
            "address_2": "STE 202",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "32725",
            "telephone_number": "386-789-5550",
            "fax_number": "386-532-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SAXON BLVD.",
            "address_2": "STE 202",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "32725",
            "telephone_number": "386-789-5550",
            "fax_number": "386-532-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST VOLUSIA MEDICAL ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "WEIGAND",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "386-789-5550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "13473",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035188100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Hospital Fish Memorial",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.