Randall P Weyrich MD LLC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

ME111722 Issued in FL

Legal business name

RANDALL P WEYRICH MD LLC

Practice address

6602 Seabird Way
Apollo Beach, FL 33572-3003

Phone

(304) 639-3427

Fax

(813) 498-0355

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Randall P Weyrich, MD

Title

Provider

Phone

(304) 639-3427

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1720527021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 SEABIRD WAY",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723003",
            "telephone_number": "304-639-3427",
            "fax_number": "813-498-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 SEABIRD WAY",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723003",
            "telephone_number": "304-639-3427",
            "fax_number": "813-498-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL P WEYRICH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "WEYRICH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "304-639-3427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "FL",
            "license": "ME111722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019027800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Apollo Beach, FL
• Providers in Apollo Beach, FL by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.