Individual provider Active NPI

Eugene Leon Way II, CRT

  • Critical Care Certified Respiratory Therapist
  • Boca Raton, FL
National Provider Identifier
1922690486
Registry record updated Feb 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Certified Respiratory TherapistTaxonomy code 2278C0205X
License
TT7754 Issued in FL
Practice address
301 Camino Gardens Blvd Ste 104
Boca Raton, FL 33432-5823
Phone
(561) 494-4499
NPI assigned
Feb 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Certified Respiratory Therapist 2278C0205X
Critical Care Certified Respiratory Therapist 2278C0205X TT7754 FL Primary

Addresses

Primary practice location

301 Camino Gardens Blvd Ste 104
Boca Raton, FL 33432-5823

Mailing address

747 Kingston CT
Apollo Beach, FL 33572-2428
Phone (813) 787-8267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TT7754FLMDCritical Care Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1922690486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 KINGSTON CT",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722428",
            "telephone_number": "813-787-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CAMINO GARDENS BLVD STE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325823",
            "telephone_number": "561-494-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "EUGENE",
        "middle_name": "LEON",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": "FL",
            "license": "TT7754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; 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.