JED P WEBER, M.D.,LLC (NPI# 1003851619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003851619 |
| Entity Type | Organization |
| Organization Name | JED P WEBER, M.D.,LLC |
| Other Organization Name | COASTAL NEUROSURGERY & SPINE |
| Practice Address |
646 Virginia St Suite 701 Dunedin FL 34698-6612 |
| Practice Telephone | 7277349088 |
| Practice Fax Number | 7272101198 |
| Mailing Telephone | 7277349088 |
| Mailing Fax Number | 7272101198 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2011-06-27 |
| Authorized Official Name | JED PAUL WEBER (OWNER) |
| Authorized Official Telephone | 7277349088 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9102790 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2726 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2726 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9102790 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PTAN | Q0175 | 01 |
| Other Name | Type Code |
|---|---|
| Coastal Neurosurgery & Spine | Doing Business As Name - Organization |
| Street Address |
646 VIRGINIA ST SUITE 701 |
| City | DUNEDIN |
| State | FL |
| Zip Code | 34698-6612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538688 | Arthur A Barlis | Specialist | 646 Virginia St, Dunedin, FL 34698-6612 | 2005-06-14 |
| 1598123218 | Chelsea Cherie Catalanotto | Nurse Practitioner | 646 Virginia St, Suite 200, Dunedin, FL 34698-6612 | 2016-02-09 |
| 1417252099 | Robert W. Levin Md Pa | Non-Pharmacy Dispensing Site | 646 Virginia St, Fourth Floor, Dunedin, FL 34698-6612 | 2011-01-13 |
| 1992020911 | Arthur A Barlis M D Pa | Specialist | 646 Virginia St, Dunedin, FL 34698-6612 | 2010-04-01 |
| 1477790806 | John M Goad | Internal Medicine | 646 Virginia St, 4th Floor, Dunedin, FL 34698 | 2009-01-07 |
| 1619148517 | Arthur A Barlis M.d. | Eyewear Supplier (Equipment, not the service) | 646 Virginia St, Dunedin, FL 34698-6612 | 2008-03-19 |
| 1154530707 | Kurt B. Repke, M.d., P.a. | Ophthalmology | 646 Virginia St, 5th Floor, Dunedin, FL 34698-6612 | 2007-05-21 |
| 1710002266 | Tatiana Nagibina Md Pa | Clinic/Center | 646 Virginia St, 5th Floor, Dunedin, FL 34698-6612 | 2007-03-20 |
| 1306935903 | Neurosurgery Associates, LLC | Specialist | 646 Virginia St, Suite 600, Dunedin, FL 34698-6612 | 2006-10-12 |
| 1477642064 | Neurosurgical Partners, P.a. | Specialist | 646 Virginia St, Suite 600, Dunedin, FL 34698-6612 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245711803 | Surgcenter Clearwater, LLC | Clinic/Center | 980 Milwaukee Avenue, Dunedin, FL 34698 | 2018-08-22 |
| 1700379112 | Richard A Richert | Counselor | Alternatives In Behavioral Health, 1301 Seminole Blvd, Ste 169, Largo, FL 34698 | 2018-06-11 |
| 1487168506 | Dunedin Chiropractic Inc | Chiropractor | 1059 Broadway Suite C, Dunedin, FL 34698 | 2017-11-28 |
| 1578072039 | Changesu | Clinic/Center | 998 Emerson Drive, Dunedin, FL 34698 | 2017-09-27 |
| 1144680042 | Diane Chonacki | Social Worker | 1835 Santa Barbara Dr, Dunedin, FL 34698 | 2016-03-04 |
| 1801201157 | Beverly Sorrells | Acupuncturist | 595 Main Street, Suite 201, Dunedin, FL 34698 | 2014-06-25 |
| 1215275623 | Izabela Kowal | Internal Medicine | 1460 Beltrees St Ste 1, Dunedin, FL 34698 | 2013-01-18 |
| 1588923346 | Kim T Rohr, Dc Pa | Chiropractor | 1000 Bass Blvd, Dunedin, FL 34698 | 2012-05-14 |
| 1235437500 | Caryn Daley Mcclintock | Registered Nurse | 1930 Dunloe Circle, Dunedin, FL 34698 | 2011-03-10 |
| 1295043073 | Chmiel Corp | Assisted Living Facility | 3240 Cr #1, Dunedin, FL 34698 | 2010-09-15 |
| Find all providers in zip 34698 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558731059 | Saja Said Rum | Physician Assistant | 2812 Saint Marks Dr, Dunedin, FL 34698-1926 | 2015-09-28 |
| 1932307592 | Leona Trent Hamrick | Physician Assistant | 1615 Summit Way, Dunedin, FL 34698-4752 | 2007-07-05 |
| 1326587163 | Benjamin Edward Love | Physician Assistant | 125 Patricia Ave, Dunedin, FL 34698-8100 | 2017-02-13 |
| 1730507674 | Phuong Bui | Physician Assistant | 125 Patricia Ave, Suite B, Dunedin, FL 34698-8100 | 2014-03-28 |
| 1851692800 | James Breen | Physician Assistant | 1022 Main St Ste R, Dunedin, FL 34698-5225 | 2010-11-08 |
| 1265757553 | Leah Yang Faucett | Physician Assistant | 703 Virginia St, Dunedin, FL 34698-6615 | 2010-03-30 |
| 1851345201 | Theron D Hawkins | Physician Assistant | 703 Virginia St, Dunedin, FL 34698-6615 | 2006-05-20 |
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|---|---|---|---|---|
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| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.