Active NPI
Ira Lewis Weiner, M.D.
- Psychiatry Physician
- Panama City Beach, FL
National Provider Identifier
1770580409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME82807
- Practice address
- 345 Moonlight Bay Dr
Panama City Beach, FL 32407-2860 - Phone
- (850) 236-8862
- Fax
- (850) 236-8862
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME82807 | FL | Primary |
Addresses
Primary practice location
345 Moonlight Bay Dr
Panama City Beach, FL 32407-2860
Mailing address
345 Moonlight Bay Drive
Panama City Beach, FL 32407
Phone (850) 236-8862
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME82807 | Other | FL | MEDICAL LICENSE # |
| 81168 | Other | FL | BCBSF PROV# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Psychiatry | Past | Accepting new patients |
| Florida Therapy Services, Inc | Past | Accepting new patients | |
| Monadnock Family Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pensacola, FL
- NPI 1407427800
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Psychiatry
-
- Community/Behavioral Health Agency
- Keene, NH
- NPI 1649331224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1770580409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 MOONLIGHT BAY DRIVE",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "32407",
"telephone_number": "850-236-8862",
"fax_number": "850-236-8862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 MOONLIGHT BAY DR",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324072860",
"telephone_number": "850-236-8862",
"fax_number": "850-236-8862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "IRA",
"middle_name": "LEWIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME82807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE #",
"identifier": "ME82807",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSF PROV#",
"identifier": "81168",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.