Individual provider Active NPI

John Weatherwax, MD

  • Anesthesiology Physician
  • Portsmouth, VA
National Provider Identifier
1902943038
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME108522 Issued in FL
Practice address
620 John Paul Jones Cir
Portsmouth Naval Medical Center Medical Staff Services
Portsmouth, VA 23708-2111
Phone
(757) 953-7550
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME108522 FL Primary

Addresses

Primary practice location

620 John Paul Jones Cir
Portsmouth Naval Medical Center Medical Staff Services
Portsmouth, VA 23708-2111

Mailing address

3809 Lamplighter CT
Portsmouth, VA 23703-2271

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110607000758 FL Practitioner - Anesthesiology 4183801749 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Medicine Services of FL LLCGroup PAC ID 9537524343, 166 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

Hospital & facility affiliations

  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME108522FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rizwana Thanawala MD PA CurrentSince Jul 23, 2020 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Apr 1, 2018 Accepting new patients
North Florida Anesthesia Consultants Inc Anesthesiology CurrentSince May 1, 2017 Accepting new patients
Anesthesia Medicine Services of FL, LLC Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Baker County Medical Services Inc CurrentSince Dec 23, 2019 Accepting new patients
Sunbelt Anesthesia Services, LLC Anesthesiology CurrentSince Nov 1, 2018 Accepting new patients
North Florida Anesthesia Consultants, Inc. Anesthesiology CurrentSince May 1, 2017 Accepting new patients
Baker County Medical Services Inc CurrentSince Dec 23, 2019 Accepting new patients
Sunbelt Visiting Primary Care LLC PastSince Jan 1, 2017 Accepting new patients

Locations

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

8833 Perimeter Park Blvd
Ste 901
Jacksonville, FL 32216
Phone (904) 240-4777

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone (904) 432-1521

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

4367 NW American Ln
Lake City, FL 32055
Phone (386) 758-6094

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1902943038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 LAMPLIGHTER CT",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "address_2": "PORTSMOUTH NAVAL MEDICAL CENTER MEDICAL STAFF SERVICES",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERWAX",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME108522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.