WESTON THOMAS (NPI# 1790201507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790201507 |
| Entity Type | Individual |
| Full Name | WESTON THOMAS |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
4600 4th St N St Petersburg FL 33703-3802 |
| Mailing Address |
603 7th St S Ste 340 St Petersburg FL 33701-4732 |
| Practice Telephone | 7275275272 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 9110550 | FL | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
PA9110550 | FL | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA9110550 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA STATE LICENSE | 9110550 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 603 7th St S Ste 440, St Petersburg, FL 337014719 | 7278936107 | 7278936113 |
| Street Address |
4600 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989625 | Glenn S Fuoco | Physical Medicine & Rehabilitation | 4600 4th St N, St Petersburg, FL 33703-3802 | 2005-11-17 |
| 1013540913 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 4600 4th St N, St Petersburg, FL 33703-3802 | 2020-02-19 |
| 1275164501 | Musculoskeletal Institute Chartered | Clinic/Center | 4600 4th St N, St Petersburg, FL 33703-3802 | 2020-01-27 |
| 1538701131 | Erin Melissa Gordy | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703-3802 | 2019-10-15 |
| 1184282907 | Mark Daicoff | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703-3802 | 2019-06-05 |
| 1790283331 | William Travis Hupp | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703 | 2018-01-29 |
| 1275056244 | Anthony Fittipaldi | Physical Therapist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2017-07-21 |
| 1639691991 | Clare Harvey | Specialist/Technologist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2017-07-08 |
| 1255781696 | Jocelyn Doina | Specialist/Technologist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2016-06-16 |
| 1114328929 | Sarah Ann Peck Briscoe | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703-3802 | 2014-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174188965 | Truwell Health Pllc | Orthopaedic Surgery | 625 6th Ave S Ste 455, St Petersburg, FL 33701-4637 | 2019-05-07 |
| 1073061107 | Fmsg All Florida Orthopaedic Associates, LLC | Orthopaedic Surgery | 4600 4th St N # 4th, St Petersburg, FL 33703-3802 | 2016-09-19 |
| 1255768339 | Daniel R. Shiffman | Orthopaedic Surgery | 900 Carillon Pkwy Ste 311, St Petersburg, FL 33716-1120 | 2013-10-03 |
| 1194970657 | Gerald Peter Sierchio | Orthopaedic Surgery | 8052 13th Ave S, St Petersburg, FL 33707-2711 | 2008-11-25 |
| 1376705830 | Amun Makani | Orthopaedic Surgery | 6450 38th Ave N Ste 320, St Petersburg, FL 33710-1649 | 2008-06-26 |
| 1487811584 | Conrad D Tamea Jr. | Orthopaedic Surgery | 7226 Williams Dr S, St Petersburg, FL 33705-6158 | 2008-05-18 |
| 1003098641 | Ahmad Nematbakhsh Do LLC | Orthopaedic Surgery | 5800 49th St N Ste 204s, St Petersburg, FL 33709-2100 | 2007-12-05 |
| 1457452732 | Victor Joseph Bilotta | Orthopaedic Surgery | 1301 74th Cir Ne, St Petersburg, FL 33702-4617 | 2006-09-26 |
| 1376643031 | William Jeffrey Rosenblum | Orthopaedic Surgery | 603 7th St S Ste 450, St Petersburg, FL 33701-4741 | 2006-09-23 |
| 1962502963 | Douglas Eugene Carlan | Orthopaedic Surgery | 900 Carillon Parkway, 311, St Petersburg, FL 33716-1120 | 2006-09-22 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
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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.