Active NPI
Jonathan R Weiser MD PA
- Plastic and Reconstructive Surgery Physician
- Hollywood, FL
National Provider Identifier
1396091625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- JONATHAN R WEISER MD PA
- Practice address
- 3449 Johnson St
Hollywood, FL 33021-5420 - Phone
- (954) 964-4113
- Fax
- (954) 963-8121
- NPI assigned
- Jul 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Wanda Lynn Ditthardt
- Title
- Office Manager
- Phone
- (954) 964-4113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
3449 Johnson St
Hollywood, FL 33021-5420
Mailing address
3449 Johnson St
Hollywood, FL 33021-5420
Phone (954) 964-4113
National Provider Directory
National Provider Directory- Tax ID family
- Jonathan R Weiser
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Hollywood, FL
- NPI 1154714269
Locations
3449 Johnson St
Hollywood, FL 33021
Phone (954) 338-8255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343088000000",
"number": "1396091625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3449 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215420",
"telephone_number": "954-964-4113",
"fax_number": "954-963-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3449 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215420",
"telephone_number": "954-964-4113",
"fax_number": "954-963-8121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN R WEISER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-24",
"status": "A",
"authorized_official_last_name": "DITTHARDT",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "954-964-4113",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.