Individual provider Active NPI

Raphaella Weiser, MD

  • Neurology Physician
  • Tampa, FL
National Provider Identifier
1609061779
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME128471 Issued in FL
Practice address
3030 N Rocky Point Dr W Ste 150a
Tampa, FL 33607-5803
Phone
(718) 710-4551
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD463971 PA
Neurology Physician 2084N0400X 68007 WI
Neurology Physician 2084N0400X ME128471 FL Primary

Addresses

Primary practice location

3030 N Rocky Point Dr W Ste 150a
Tampa, FL 33607-5803

Mailing address

Repha -NA L.L.C
3030 N Rocky Point Dr Ste 150a
Tampa, FL 33607

Other practice location 1

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220407001761 PA Practitioner - Neurology 0244459683 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141

129 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-3626

141 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-7322

143 Hospital Dr
State College, PA 16803-5500
Phone (814) 237-3470

155 Wellness Way
State College, PA 16803-6702

2160 State Rd
Lancaster, PA 17601-1812

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 763-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME128471FLMDNeurology Physician
MD463971PAMDNeurology Physician
68007WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Current Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Aug 1, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Sep 12, 2022 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Mar 14, 2022 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Sep 12, 2022 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Fulton County Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Fulton County Medical Center CurrentSince Nov 1, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Mar 14, 2022 Accepting new patients
Fulton County Medical Center Past Accepting new patients
Fulton County Medical Center Past Accepting new patients

Locations

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

1450 Scalp Ave
Ste 2100
Johnstown, PA 15904
Phone (814) 269-5211

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

550 N 12th St
Ste 140
Lemoyne, PA 17043
Phone (717) 901-8000

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

Organizations & group practices 12

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 1

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1609061779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REPHA -NA L.L.C",
            "address_2": "3030 N ROCKY POINT DR STE 150A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N ROCKY POINT DR W STE 150A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075803",
            "telephone_number": "718-710-4551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISER",
        "first_name": "RAPHAELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD463971",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "68007",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME128471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.