Susan Holloway Weinkle, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

45450 Issued in FL

Practice address

5601 21St Ave W
Ste B
Bradenton, FL 34209-5642

Phone

(941) 794-5432

Fax

(941) 794-5682

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Dermatology

Education

University of Florida College of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Weinkle Dermatology, Inc.Group PAC ID 1850780172, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Weinkle Dermatology, Inc.

  • Dermatology Physician
  • Bradenton, FL
  • NPI 1154093839
  Medicare reassignment Care Compare group NPD Authorized official

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

• Balanced Home Healthcare, Inc.

  • Home Health Agency
  • Tampa, FL
  • NPI 1740509876
  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1992897938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 21ST AVE W",
            "address_2": "STE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095642",
            "telephone_number": "941-794-5432",
            "fax_number": "941-794-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 21ST AVE W",
            "address_2": "STE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095642",
            "telephone_number": "941-794-5432",
            "fax_number": "941-794-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINKLE",
        "first_name": "SUSAN",
        "middle_name": "HOLLOWAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "45450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070005597",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "K5859",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Weed, MA
• Aaron Weiner, PHARMD.
• Jamie J Weingaertner
• Weinkle Dermatology, Inc.
• Dana James Weinkle, M.D.
• Matthew Weinstein
• Morgan Ashley Weinstein
• Mark P Weintraub, MD
• Nicole Weisman
• Henry J Weiss, MD

• Specialist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.