Individual provider Active NPI

Annmarie E Weekes, DO

  • Anesthesiology Physician
  • Bartow, FL
National Provider Identifier
1962428219
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS6136 Issued in FL
Practice address
2200 Osprey Blvd
Bartow, FL 33830-3308
Phone
(863) 519-1416
Fax
(863) 519-1427
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OS6136 FL Primary

Addresses

Primary practice location

2200 Osprey Blvd
Bartow, FL 33830-3308

Mailing address

912 Hamilton Place Dr
Lakeland, FL 33813-2667
Phone (863) 648-0377

Other identifiers 1

IdentifierTypeStateIssuer
80521OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS6136FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Polk County Anesthesia Anesthesiology Current Accepting new patients

Locations

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962428219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 HAMILTON PLACE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132667",
            "telephone_number": "863-648-0377",
            "fax_number": "863-648-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OSPREY BLVD",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303308",
            "telephone_number": "863-519-1416",
            "fax_number": "863-519-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKES",
        "first_name": "ANNMARIE",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS6136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80521",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

Verify at the official NPI Registry.