JONATHAN R. WEISER (NPI# 1154714269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154714269 |
| Entity Type | Organization |
| Organization Name | JONATHAN R. WEISER |
| Practice Address |
3449 Johnson St Hollywood FL 33021-5420 |
| Practice Telephone | 9549644113 |
| Practice Fax Number | 9549638121 |
| Mailing Telephone | 9549644113 |
| Mailing Fax Number | 9549638121 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |
| Authorized Official Name | MRS. WANDA DITTHARDT (OFFICE MANAGER) |
| Authorized Official Telephone | 9549644113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME62894 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED | 208183 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 17993 | 01 |
| Street Address |
3449 JOHNSON ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386781128 | Jeffrey Craig Uecker | Specialist | 3449 Johnson St, Hollywood, FL 33021-5420 | 2007-01-31 |
| 1336532449 | Jeffrey C. Uecker Md Pa | Specialist | 3449 Johnson St, Hollywood, FL 33021-5420 | 2015-03-13 |
| 1720487218 | James D Stern Md Pa | Specialist | 3449 Johnson St, Hollywood, FL 33021-5420 | 2014-08-20 |
| 1396091625 | Jonathan R Weiser Md Pa | Surgery | 3449 Johnson St, Hollywood, FL 33021-5420 | 2012-07-24 |
| 1689920977 | Odalys Castellon Pa | Surgery | 3449 Johnson St, Hollywood, FL 33021-5420 | 2012-07-24 |
| 1174898597 | J Craig Uecker Md Pa | Surgery | 3449 Johnson St, Hollywood, FL 33021-5420 | 2012-03-19 |
| 1770787087 | Physician's Institute of Cosmetic and Reconstructive Surgery | Specialist | 3449 Johnson St, Hollywood, FL 33021-5420 | 2007-06-12 |
| 1104963958 | Jonathan Ralph Weiser | Specialist | 3449 Johnson St, Hollywood, FL 33021-5420 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205321809 | Custom Crowns | Specialist | 5202 Plunkett St, Hollywood, FL 33021-8023 | 2018-06-26 |
| 1225443559 | Devora Hurwitz | Specialist | 3007 Bogota Ave, Hollywood, FL 33026-4509 | 2014-06-25 |
| 1003159963 | Leaf It Up Medspa,llc | Specialist | 1000 N Broadwalk Ste 1, Hollywood, FL 33019-1221 | 2013-03-29 |
| 1306114285 | Regional Imaging Inc | Specialist | 10786 Charleston Pl, Hollywood, FL 33026-4906 | 2011-12-07 |
| 1720376734 | Early Stages for Early Ages Inc. | Specialist | 203 Sw 85th Terr. Apt. 306, Hollywood, FL 33025 | 2011-07-12 |
| 1184936502 | Adelheid C. Reinoso Md, Pa | Specialist | 3700 Washinton Street, Suite 202, Hollywood, FL 33021-8249 | 2010-07-14 |
| 1922327832 | Andrea Hamilton | Specialist | 7986 Highway 162, Hollywood, SC 29449-5607 | 2010-05-18 |
| 1043538853 | Rosa Guzman | Specialist | 3837 Hollywood Blvd Ste B, Hollywood, FL 33021-1243 | 2010-05-04 |
| 1053577403 | Diane Elizabeth Reynolds | Specialist | 1714 Taft St, Hollywood, FL 33020-2836 | 2008-08-05 |
| 1306019823 | Lorena Lewy-altebaum, Md | Specialist | 3700 Washington St Ste 400, Hollywood, FL 33021-8289 | 2008-04-04 |
| Find all providers in HOLLYWOOD | ||||
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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.