Weena C Favis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0068843 Issued in FL

Practice address

33041 Professional Dr
Suite 101
Leesburg, FL 34788-3760

Phone

(352) 365-1224

Fax

(352) 365-0786

NPI assigned

Nov 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: weena.favis.1@17462.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24264/brand/1/csg/1/fhir/r4

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.

• Vizavee Urgent & Primary Care, LLC

  • Family Medicine Physician
  • Wildwood, FL
  • NPI 1821665886
  Medicare reassignment NPD
• Weena Chua Favis MD PA

  dba Lake Prime Care

  • Internal Medicine Physician
  • Leesburg, FL
  • NPI 1235194861
  Authorized official Same address or phone

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1356523435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33041 PROFESSIONAL DR",
            "address_2": "SUITE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883760",
            "telephone_number": "352-365-1224",
            "fax_number": "352-365-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33041 PROFESSIONAL DR",
            "address_2": "SUITE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883760",
            "telephone_number": "352-365-1224",
            "fax_number": "352-365-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVIS",
        "first_name": "WEENA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0068843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family First Homecare, LLC (Family First Homecare of Ocala)
• Kirmanj Muhammad Faraj, M.D.
• Wendi Lyn Farr, RRT
• Scott Thomas Farrar, PTA
• Jeanette Torres Farro, APRN
• Favored Abilities Support Services LLC
• Shawn Feely
• Yanira R. Feliciano Montalvo, M.D.
• Cany Feliciano-Perez, CRNA
• Michael I Felton, CRNA

• Internal Medicine Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.