DR. GREGORY SCOTT WEATHERFORD (NPI# 1073667689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073667689 |
| Entity Type | Individual |
| Full Name | DR. GREGORY SCOTT WEATHERFORD |
| Credential | M.D. |
| Practice Address |
2609 W Woolbright Rd Suite 1 Boynton Beach FL 33436-6634 |
| Practice Telephone | 5617348400 |
| Practice Fax Number | 5617328807 |
| Mailing Telephone | 5617348400 |
| Mailing Fax Number | 5617328807 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME0047803 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 04487 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750628673 | Gregory Weatherford | Pharmacist | 130 Peachtree East, Peachtree City, GA 30269 | 2013-01-11 |
| Street Address |
2609 W WOOLBRIGHT RD SUITE 1 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33436-6634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376509711 | Boynton Sport and Back Physical Therapy | Physical Therapist | 2609 W Woolbright Rd, Suite 4a, Boynton Beach, FL 33436-6634 | 2006-04-25 |
| 1588910228 | Boynton Physicians Group LLC | Internal Medicine | 2609 W Woolbright Rd, Suite 5, Boynton Beach, FL 33436-6634 | 2012-07-31 |
| 1134421589 | Edgar Ibanez Md, Pa | Internal Medicine | 2609 W Woolbright Rd, Ste 4c, Boynton Beach, FL 33436-6634 | 2010-11-17 |
| 1417135997 | Nelson Lopez Md Pa | Family Medicine | 2609 W Woolbright Rd, Suite 5, Boynton Beach, FL 33436-6634 | 2008-02-06 |
| 1174604219 | Jonathan Shochat | Orthotist | 2609 W Woolbright Rd, Suite 3a, Boynton Beach, FL 33436-6634 | 2006-10-17 |
| 1164522090 | Franz Hugo Nelson Lopez Padilla | Family Medicine | 2609 W Woolbright Rd, Suite 5, Boynton Beach, FL 33436-6634 | 2006-09-22 |
| 1902825730 | Edgar Ibanez | Specialist | 2609 W Woolbright Rd, Ste 4 C, Boynton Beach, FL 33436-6634 | 2006-07-19 |
| 1003873407 | James Franco | Physical Therapist | 2609 W Woolbright Rd, Suite 4a, Boynton Beach, FL 33436-6634 | 2006-04-28 |
| 1003873514 | Abby Franco | Physical Therapist | 2609 W Woolbright Rd, Suite 4a, Boynton Beach, FL 33436-6634 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1124650692 | Marie Guerlande Cius | Nurse Practitioner | Jfk Medical Center, Atlantis, FL 33436 | 2020-02-12 |
| 1336785609 | Dorri's Dental P.a. | Dentist | 12658 S. Military Trail, Suite #104, Boynton Beach, FL 33436 | 2019-11-21 |
| 1356986335 | Valerie Delbrun | Nurse Practitioner | 1046 Arezzo Circle Boyton Beach Fl 33436, Boyton Beach, FL 33436 | 2019-11-13 |
| 1376037374 | Shannon M Mitchell | Clinic/Center | 3900 Max Place, Unit 101, Boynton Beach, FL 33436 | 2018-06-22 |
| 1780198978 | Procare Dentistry | Dentist | 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 | 2017-11-27 |
| 1144733163 | Gerardo Alberto Casteleiro | Counselor | 58 Misty Meadow Drive, Boynton Beach, FL 33436 | 2017-11-13 |
| 1346767183 | Marcken Volmy | Counselor | 79 Baytree Circle, Boynton Bea H, FL 33436 | 2017-08-23 |
| 1821512476 | Local Recovery, LLC | Counselor | 200 Knuth Road, Suite 228, Boynton Beach, FL 33436 | 2017-07-26 |
| 1164944534 | Stephanie Joseph | Nurse Practitioner | 3658 Stratton Lane, Boynton Beach, FL 33436 | 2017-07-07 |
| Find all providers in zip 33436 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869237 | Guerry Cenord | Family Medicine | 7987 Clementine Dr, Boynton Beach, FL 33436-1605 | 2020-04-10 |
| 1841829512 | Christian E Sanon | Family Medicine | 1690 Renaissance Commons Blvd Apt 1301, Boynton Beach, FL 33426-7211 | 2020-04-05 |
| 1801363411 | Lisa Ann Antonczak | Family Medicine | 23 Pepperwood Ct, Boynton Beach, FL 33426-9351 | 2018-11-01 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1518481191 | Esther Thomas | Family Medicine | 115 Nw 14th Ave, Boynton Beach, FL 33435-2634 | 2017-07-26 |
| 1013430701 | Dawn M Sepulveda | Family Medicine | 10151 Enterprise Ctr Ste 106, Boynton Beach, FL 33437-3760 | 2017-07-25 |
| 1588186191 | Tyler J Provost | Family Medicine | 4600 N Ocean Blvd Ste 101, Boynton Beach, FL 33435-7365 | 2017-07-14 |
| 1609001106 | Trudell A Doctor | Family Medicine | 7730 Boynton Beach Blvd Ste 3, Boynton Beach, FL 33437-6155 | 2009-05-27 |
| 1265607501 | George Andricopoulos | Family Medicine | 2010 S Federal Hwy Apt I409, Boynton Beach, FL 33435-6912 | 2008-04-28 |
| 1497925085 | Donald Dunayer | Family Medicine | 5874 Crystal Shores Dr, Suite 107, Boynton Beach, FL 33437-5683 | 2008-03-10 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33436 |
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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.