Individual provider Active NPI

Andrew J Weinstein, MD PA

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1508829862
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0058373 Issued in FL
Practice address
1824 King Street
Suite 300
Jacksonville, FL 32204-4736
Phone
(904) 388-1820
Fax
(904) 388-1827
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0058373 FL Primary

Addresses

Primary practice location

1824 King Street
Suite 300
Jacksonville, FL 32204-4736

Mailing address

1824 King Street
Suite 300
Jacksonville, FL 32204-4736
Phone (904) 388-1820

Other identifiers 2

IdentifierTypeStateIssuer
11649OtherFLFLORIDA BCBS
372133700MedicaidFL

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
I20041027000595 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2062473770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1658 St Vincent'S Way
Middleburg, FL 32068-8431

1699 S 14TH St
Fernadina Beach, FL 32034-1964

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

2300 Park Ave
Orange Park, FL 32073-5572

Hospital & facility affiliations

  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321
  • Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0058373FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Feb 1, 2012 Accepting new patients
Cardiology Interpreters Inc CurrentSince May 12, 2014 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Feb 1, 2012 Accepting new patients
Amy Townsend MD PA Past Accepting new patients
Memorial Ekg Associates Past Accepting new patients
St Vincents Electrocardiography, Inc Specialist Past Accepting new patients

Locations

1699 S 14th St
Ste 9
Fernandina Beach, FL 32034
Phone (904) 206-5000

2563 Oak St
Jacksonville, FL 32204
Phone (904) 388-2619

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1824 King St
Ste 300
Jacksonville, FL 32204
Phone (904) 381-9393

2 Shircliff Way
Ste 300
Jacksonville, FL 32204
Phone (904) 308-7959

2 Shircliff Way
Ste 400
Jacksonville, FL 32204
Phone (904) 308-4000

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

Interoperability endpoints

  • Direct secure messaging: andrew.weinstein.1@8967.direct.athenahealth.com

Organizations & group practices 6

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 6

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1508829862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 KING STREET",
            "address_2": "SUITE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044736",
            "telephone_number": "904-388-1820",
            "fax_number": "904-388-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 KING STREET",
            "address_2": "SUITE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044736",
            "telephone_number": "904-388-1820",
            "fax_number": "904-388-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0058373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BCBS",
            "identifier": "11649",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372133700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.