DR. WENDY WEISS (NPI# 1306956206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306956206 |
| Entity Type | Individual |
| Full Name | DR. WENDY WEISS |
| Credential | DO |
| Practice Address |
4202 E Fowler Ave Stop Shs100 Tampa FL 33620 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8139742331 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS6904 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | OS6904 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | KJ801 | 01 |
| FL | BCBS | 57175 | 01 |
| FL | RAILROAD MEDICARE | 080084579 | 01 |
| FL | 270953800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3131 N Mcmullen Booth Rd, Clearwater, FL 337612008 | 7277268871 | 7277239055 |
| 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 8139742331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144352592 | Wendy Susan Weiss | Psychologist | 1007 7th St, Suite 313, Sacramento, CA 95814-3410 | 2007-03-12 |
| 1609867738 | Wendy Eve Weiss | Family Medicine | 575 Price St, Suite 101, Pismo Beach, CA 93449-2553 | 2005-10-28 |
| 1013071836 | Wendy E Weiss | Acupuncturist | 9667 Hwy 29, Suite 202, Lower Lake, CA 95457-4804 | 2006-12-19 |
| 1891854105 | Wendy E Weiss | Social Worker | 175 Dwight Rd, Suite 303, Longmeadow, MA 01106-1761 | 2006-12-06 |
| Street Address |
4202 E FOWLER AVE STOP SHS100 |
| City | TAMPA |
| State | FL |
| Zip Code | 33620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891789020 | Rodney A. Friend | Preventive Medicine | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620-6750 | 2005-09-02 |
| 1215303805 | Kaitlyn Rechenberg | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2015-08-18 |
| 1689951097 | Teresa Nuss Gore | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620-5349 | 2011-11-14 |
| 1104088053 | Teresa Ann Dowdy | Internal Medicine | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620-6750 | 2008-07-01 |
| 1912082199 | Rebecca Marie Lutz | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2006-10-26 |
| 1992721682 | Vernon Herbert Bartley | Surgery | 4202 E Fowler Ave Stop Shs100, University of S.florida, Tampa, FL 33620-6750 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145542 | Ramon Ramirez | Specialist/Technologist | 4202 E Fowler Ave., Ath 100, Tampa, FL 33620 | 2018-12-17 |
| 1093818908 | Theresa Hnath-chisolm | Audiologist | 4202 E Fowler Aveune, University of South Florida PCd 1017, Tampa, FL 33620 | 2006-09-06 |
| 1689170581 | Jessica R Mabry | Speech-Language Pathologist | 4202 E Fowler Ave, Tampa, FL 33620 | 2018-04-01 |
| 1366990111 | Megan Sears | Specialist/Technologist | 4202 E Fowler Ave, Tampa, FL 33620 | 2016-09-21 |
| 1134520158 | Denyse Sierra | Speech-Language Pathologist | 4202 E Fowler Ave, Pcd1017, Tampa, FL 33620 | 2014-09-09 |
| 1245527738 | Kelli Gorajec | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620 | 2011-07-05 |
| 1477727865 | Adrienne Bruccoleri | Nurse Practitioner | 4202 E Fowler Ave, Tampa, FL 33620 | 2008-04-16 |
| 1487843637 | Jane Bradley Smart | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620 | 2007-10-23 |
| 1427128289 | Swapna Mukherjea | Psychiatry & Neurology | 4202 E Fowler Ave, Usf Counseling Center Svc 2124, Tampa, FL 33620 | 2006-11-09 |
| 1700893591 | Patricia Irene Carr | Audiologist | 4202 E Fowler Ave, Pcd1017, Tampa, FL 33620 | 2006-08-02 |
| Find all providers in zip 33620 | ||||
| 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 |
|---|---|---|---|---|
| 1851909212 | Stefanny Molina Mesa | Family Medicine | 3016 W Kirby St, Tampa, FL 33614-3303 | 2020-07-21 |
| 1245869015 | Zenlifemd Pa | Family Medicine | 18101 Highwoods Preserve Pkwy Ste 120, Tampa, FL 33647-1791 | 2020-04-03 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1447898101 | Palms Clinical Services Inc | Family Medicine | 17008 Palm Pointe Dr Ste 101, Tampa, FL 33647-3504 | 2019-12-12 |
| 1396382545 | Advanced Medical Treatments, LLC | Family Medicine | 4401 W Kennedy Blvd Fl 3, Tampa, FL 33609-2058 | 2019-12-06 |
| 1528604204 | Amarillys Alvarado-sojo | Family Medicine | 10306 Manta Way, Tampa, FL 33615-4252 | 2019-11-18 |
| 1891345138 | Adeel Farooqi | Family Medicine | 3905 W Sevilla St, Tampa, FL 33629-8604 | 2019-09-18 |
| 1003464074 | Leslie Kapp-jones | Family Medicine | 3100 E Fletcher Ave Ste 126, Tampa, FL 33613-4613 | 2019-09-03 |
| 1053895375 | Barbara Pierre-louis | Family Medicine | 12552 Castle Hill Dr, Tampa, FL 33624-4183 | 2018-09-21 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| Find all providers in TAMPA | ||||
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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.