Individual provider Active NPI

Weilin Liu, D.O.

  • Family Medicine Physician
  • Winter Haven, FL
National Provider Identifier
1700234747
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS17100 Issued in FL
Practice address
500 E Central Ave
Winter Haven, FL 33880-3053
Phone
(863) 293-1191
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS17100 FL Primary

Addresses

Primary practice location

500 E Central Ave
Winter Haven, FL 33880-3053

Mailing address

500 E Central Ave
Winter Haven, FL 33880-3094
Phone (863) 293-1191

Other practice location 1

29 E 29th St
Bayonne, NJ 07002-4654
Phone (201) 858-5257

Other practice location 2

42 Town St Ste 300
Norwich, CT 06360-2339
Phone (860) 886-0567

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
I20200929001686 FL Practitioner - Family Practice 3274957717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
The Orthopaedic Institute, PAGroup PAC ID 2860385242, 113 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378

11962 County Rd
The Villages, FL 32162-9336
Phone (352) 693-3378

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

2955 Brownwood Blvd
Suite 403
The Villages, FL 32163-2040
Phone (352) 336-6000

8768 SE 165TH Mulberry LN
The Villages, FL 32162-5861
Phone (352) 329-5237

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17100FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
The Orthopaedic Institute PA Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Bond Clinic PA Family Medicine CurrentSince Nov 2, 2020 Accepting new patients
Bond Clinic PA CurrentSince Nov 2, 2020 Accepting new patients
The Orthopaedic Institute, PA CurrentSince Jun 1, 2024 Accepting new patients
Bond Urgent Care LLC Past Accepting new patients

Locations

200 W State Road 436
Ste 1020
Altamonte Springs, FL 32714

146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215

2039 E Edgewood Dr
Lakeland, FL 33803
Phone (863) 937-1050

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

2955 Brownwood Blvd
Ste 403
The Villages, FL 32163
Phone (352) 674-8700

500 E Central Ave
Winter Haven, FL 33880
Phone 86329311913286

Interoperability endpoints

  • Direct secure messaging: wliu@ocp.emadirect.md
  • Direct secure messaging: weilin.liudo.p1@direct.bondclinicpa.nextgenshare.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 3

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1700234747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803094",
            "telephone_number": "863-293-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803053",
            "telephone_number": "863-293-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 E 29th St",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070024654",
            "country_code": "US",
            "telephone_number": "201-858-5257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 Town St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602339",
            "country_code": "US",
            "telephone_number": "860-886-0567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "WEILIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS17100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.