Pensacola Radiation Medicine P.a.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

PENSACOLA RADIATION MEDICINE P.A.

Practice address

1717 North E Street
Suite 134
Pensacola, FL 32501-6339

Phone

(850) 469-2200

Fax

(850) 469-5148

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph William Weaver, MD

Title

President

Phone

(850) 469-2200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1699973834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 NORTH E STREET",
            "address_2": "SUITE 134",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-469-2200",
            "fax_number": "850-469-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 NORTH E STREET",
            "address_2": "SUITE 134",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-469-2200",
            "fax_number": "850-469-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA RADIATION MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-469-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pensacola Primary Care, Inc. (dba Pensacola Primary Care, Inc.-W.Fairfield)
• Pensacola Primary Care, Inc.
• Pensacola Primary Care, Inc. (dba Pensacola Primary Care, Inc.-N. Davis)
• Pensacola Psychological Clinic PA
• Pensacola Pulmonary Associates P.a.
• Pensacola Radiology Consultants PA
• Pensacola Rehab LLC (The Health Center of Pensacola)
• Pensacola Smiles, PLLC
• Pensacola SNF LLC (Southern Oaks Rehab & Nursing Center)
• Pensacola SNF LLC (Southern Oaks Rehabilitation and Nursing Center)

• Radiation Oncology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.