Eric D Weston, M.D.
Individual provider Active NPI Gastroenterology Physician · Belleair, FL
NPI 1922054097 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1922054097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- ME32540 (FL)
- Practice address
- 401 Corbett St
Suite 350
Belleair, FL 33756-7309 - Phone
- (727) 298-0802
- Fax
- (727) 298-0272
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 15
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- New York Medical College, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Cloud Hospital
Practice addresses (Care Compare)
1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700
Hospital & facility affiliations
- Augusta Health
- Centracare - St. Cloud Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 33 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 29 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210325001963 | MN | Practitioner - Gastroenterology | 2961427125 | Reassigns benefits to 2 organizations |
| I20260209000729 | VA | Practitioner - Gastroenterology | 2961427125 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0018711 | CO | MD | Gastroenterology Physician |
| ME32540 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Gastroenterology | Current |
Accepting new patients |
| Centracare Clinic | Current | Accepting new patients | |
| Augusta Medical Group | Current |
Accepting new patients | |
| Centracare Clinic | Current |
Accepting new patients | |
| St. Cloud Hospital | Current |
Accepting new patients | |
| St. Cloud Hospital | Current |
Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Augusta Medical Group | Current |
Accepting new patients | |
| Clearwater Anesthesia Service Specialists LLC | Past |
Accepting new patients |
Locations
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375
9 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 245-7350
53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687
Interoperability endpoints
- eweston768813@direct.centracare.com
- https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | DR.0018711 | CO | |
| Gastroenterology Physician | 207RG0100X | ME32540 | FL | Yes |
Addresses
Primary practice location
401 Corbett St
Suite 350
Belleair, FL 33756-7309
Mailing address
401 Corbett St
Ste 350
Clearwater, FL 33756
Phone (727) 298-0802
Other practice location 1
2030 Mountain View Ave Ste 310
Longmont, CO 80501-3181
Phone (720) 652-8650
Other practice location 2
10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037237400 | Medicaid | FL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Belleair, FL
- Sun State Hospitalists LLC
- Yelena Tarasenko
- Melinda Reily Techler
- Stephanie Vanzandt
- Rodney Douglas Vincent
- Leon J Whitehurst
- Zerica Whittingham
- David M Wieland
- Shelley A Young
- Mandy Lynn Zipf
All providers in Belleair, FL · Gastroenterology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.