BURKHARD WEPPELMANN (NPI# 1952303935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952303935 |
| Entity Type | Individual |
| Full Name | BURKHARD WEPPELMANN |
| Credential | M.D. |
| Practice Address |
12109 County Road 103 Oxford FL 34484-2951 |
| Practice Telephone | 3522058981 |
| Practice Fax Number | 3523916498 |
| Mailing Telephone | 3522058981 |
| Mailing Fax Number | 3523916498 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME47442 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBSFL | 11675 | 01 |
| Street Address |
12109 COUNTY ROAD 103 |
| City | OXFORD |
| State | FL |
| Zip Code | 34484-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962875500 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 12109 County Road 103, Oxford, FL 34484-2951 | 2015-11-04 |
| 1023447935 | Advanced Urology Institute, LLC | Urology | 12109 County Road 103, Oxford, FL 34484-2951 | 2013-11-01 |
| 1326128588 | Sherrie L. Flores | Nurse Practitioner | 12109 County Road 103, Oxford, FL 34484-2951 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760723 | Advanced Surgery Center of Oxford | Clinic/Center | 12117 Cr 103, Oxford, FL 34484 | 2019-09-24 |
| 1124571500 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4232 E County Road 466, Suite 101, Oxford, FL 34484 | 2016-08-02 |
| 1336513639 | Balanced Wellbeing LLC | Psychiatry & Neurology | 10840 North Us Highway, Suite 301, Oxford, FL 34484 | 2015-11-24 |
| 1558616052 | Junzen Ballesil Domingo | Physical Therapist | 14401 S. Military Trail, Apt 110, Delray Beach, FL 34484 | 2012-07-20 |
| 1285960229 | Tracy Renna | Occupational Therapist | 4904 Ne 123rd Ln, Oxford, FL 34484 | 2009-10-27 |
| 1588766125 | Richard M Roach | Urology | 12109 County Road 103 Ste 2, Oxford, FL 34484 | 2006-09-03 |
| 1942238506 | Hartford Health Services, LLC | Home Health | 11031 N Us Highway 301 Ste 103, Oxford, FL 34484 | 2006-06-30 |
| 1962046151 | Solace Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 12117 Cr 103, Oxford, FL 34484 | 2019-10-31 |
| 1689142259 | Kendra Nicole Wilson | Physician Assistant | 10840 N Us Highway 301, Oxford, FL 34484 | 2018-11-12 |
| 1841451507 | Rebecca M Herndon | Occupational Therapist | 4725 Bellwether Ln, Oxford, FL 34484 | 2008-06-24 |
| Find all providers in zip 34484 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770578619 | Paul W. Adams | Radiology | 12109 Cr 103, Oxford, FL 34484-2967 | 2005-09-16 |
| 1639420243 | John E Cantrell Md PC | Radiology | 504 Azalea Dr, Radiaiton Oncology Department, Oxford, MS 38655-5397 | 2012-09-21 |
| 1790893782 | Michael W Chancellor | Radiology | 12109 Cr 103, Oxford, FL 34484-2967 | 2006-08-29 |
| 1588699839 | John E Cantrell | Radiology | 504 Azalea Dr, Radiation Oncology Department, Oxford, MS 38655-5397 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BURKHARD WEPPELMANN.
| 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.