Individual provider Active NPI

Jed P Weber, MD

  • Neurological Surgery Physician
  • Dunedin, FL
National Provider Identifier
1992749352
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME79583 Issued in FL
Practice address
646 Virginia St
Suite 701
Dunedin, FL 34698
Phone
(727) 734-9088
Fax
(727) 210-1198
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME79583 FL
Neurological Surgery Physician 207T00000X ME79583 FL Primary

Addresses

Primary practice location

646 Virginia St
Suite 701
Dunedin, FL 34698

Mailing address

1988 Gulf to Bay Blvd
Ste 1
Clearwater, FL 33765-3550
Phone (727) 953-8090

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
I20051114000942 FL Practitioner - Neurosurgery 8921027400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Johns Hopkins University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Spine Institute, LLCGroup PAC ID 1456536192, 17 clinicians

Practice addresses (Care Compare)

1988 Gulf to Bay Blvd
Suite 1
Clearwater, FL 33765-3550
Phone (727) 953-8090

Hospital & facility affiliations

  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion22
Laminectomy or laminotomy (partial removal of spine bones)27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Spine Institute, LLC Specialist CurrentSince Oct 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Neurosurgery Associates, LLC Specialist Past Accepting new patients
Naps Medical LLC Past Accepting new patients

Locations

1988 Gulf To Bay Blvd
Clearwater, FL 33765
Phone (727) 314-4243

1988 Gulf To Bay Blvd
Ste 1
Clearwater, FL 33765
Phone (727) 953-8090

Organizations & group practices 4

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 1

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1992749352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 GULF TO BAY BLVD",
            "address_2": "STE 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653550",
            "telephone_number": "727-953-8090",
            "fax_number": "727-953-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 VIRGINIA ST",
            "address_2": "SUITE 701",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "34698",
            "telephone_number": "727-734-9088",
            "fax_number": "727-210-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JED",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME79583",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME79583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.