Deborah Anne Weyer, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME78720 Issued in FL

Practice address

1658 St Vincent's Way
Suite 320
Middleburg, FL 32068-8459

Phone

(904) 602-4330

Fax

(904) 602-4371

NPI assigned

Jul 5, 2006

Last updated

Jul 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deborah.weyer.1@8967.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Vincents Ambulatory Care Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1417987124
  Medicare reassignment NPD
• St Vincents Ambulatory Care Inc

  dba Ascension St Vincent's Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1679226690
  NPD
• Shands Teaching Hospital and Clinics Inc

  • Clinic/Center
  • Gainesville, FL
  • NPI 1821184649
  NPD (past)
• Starke Hma Medical Group LLC

  • Family Medicine Physician
  • Starke, FL
  • NPI 1417276650

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1871524181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 ST VINCENT'S WAY",
            "address_2": "SUITE 320",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688459",
            "telephone_number": "904-602-4330",
            "fax_number": "904-602-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 ST VINCENT'S WAY",
            "address_2": "SUITE 320",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688459",
            "telephone_number": "904-602-4330",
            "fax_number": "904-602-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYER",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "ME78720",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME78720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "58539",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME78720",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262598900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Michael Waters Jr., D.O.
• Tracy N Watford
• Andrew Welch
• Katherine Wenger, DPT
• David W Westcott, LMHC
• WH FL Dental PLLC
• WH FL Optometry PLLC
• Wheelchairs Plus Inc
• Kisha N Whitehurst, LMT
• Rebecca Wilburn

• Pediatrics Physician in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.

Verify at the official NPI Registry.