Steven Weiner, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME92683 Issued in FL

Practice address

2050 W County Highway 30a
Suite 114
Santa Rosa Beach, FL 32459-0187

Phone

(850) 622-1214

Fax

(866) 465-7548

NPI assigned

Jan 5, 2016

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1770949893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W COUNTY HIGHWAY 30A",
            "address_2": "SUITE 114",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590187",
            "telephone_number": "850-622-1214",
            "fax_number": "866-465-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W COUNTY HIGHWAY 30A",
            "address_2": "SUITE 114",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590187",
            "telephone_number": "850-622-1214",
            "fax_number": "866-465-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME92683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.