Elliot Sol Weissbluth

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

COMPLETING Issued in MT

Practice address

162 N Outlook Trail
Big Sky, MT 59720

Phone

(312) 925-4400

Fax

(312) 925-4400

NPI assigned

Sep 22, 2020

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1699381996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 S FEDERAL HWY STE 380",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327335",
            "telephone_number": "312-925-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 N OUTLOOK TRAIL",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "59720",
            "telephone_number": "312-925-4400",
            "fax_number": "312-925-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSBLUTH",
        "first_name": "ELLIOT",
        "middle_name": "SOL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MT",
            "license": "COMPLETING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Curtis Sullivan, MD
• Daniel Tanbakuchi, DO
• Elizabeth M Tapen, MD
• Matthew Chai-Fong Valente, M.D.
• Kirk E. Weber, M.D.
• Andrea Wick, D.C.
• Yellowstone Club Public Safety of Privacy

• Emergency Medical Services (Emergency Medicine) Physician in Big Sky, MT
• Providers in Big Sky, MT by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.