Active NPI
Weichi Liao, M.D.
- Internal Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME111922
- Practice address
- 6484 Fort Caroline Rd
Jacksonville, FL 32277-2042 - Phone
- (904) 744-7300
- Fax
- (904) 722-4271
- NPI assigned
- Nov 7, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME111922 | FL | Primary |
Addresses
Primary practice location
6484 Fort Caroline Rd
Jacksonville, FL 32277-2042
Mailing address
6520 Fort Caroline Rd
Jacksonville, FL 32277-2044
Phone (904) 745-3618
Other practice location 1
11513 N Main St
Jacksonville, FL 32218
Phone (904) 751-6200
Other practice location 2
11513 N Main St
Jacksonville, FL 32218
Phone (904) 751-6200
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Millennium Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
11513 N Main St
Jacksonville, FL 32218
Phone (904) 751-6200
12620 Beach Blvd
Ste 13
Jacksonville, FL 32246
Phone (352) 639-0760
1215 Dunn Ave
Jacksonville, FL 32218
Phone (904) 757-1998
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Internal Medicine
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1811141583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 FORT CAROLINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322772044",
"telephone_number": "904-745-3618",
"fax_number": "904-722-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6484 FORT CAROLINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322772042",
"telephone_number": "904-744-7300",
"fax_number": "904-722-4271"
}
],
"practiceLocations": [
{
"address_1": "11513 N Main St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32218",
"country_code": "US",
"telephone_number": "904-751-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11513 N Main St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32218",
"country_code": "US",
"telephone_number": "904-751-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIAO",
"first_name": "WEICHI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-07",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME111922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.