IRINA WEIDMAN (NPI# 1386150647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386150647 |
| Entity Type | Individual |
| Full Name | IRINA WEIDMAN |
| Credential | RT R, CT, MR |
| Practice Address |
222 Los Prados Dr Safety Harbor FL 34695-3332 |
| Practice Telephone | 9412438600 |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2017-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
439406 | Technologists, Technicians & Other Technical Service Providers | |
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
CRT67903 | FL | Technologists, Technicians & Other Technical Service Providers |
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
439406 | Technologists, Technicians & Other Technical Service Providers | |
| N | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
439406 | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ARRT | 439406 | 01 |
| Street Address |
222 LOS PRADOS DR |
| City | SAFETY HARBOR |
| State | FL |
| Zip Code | 34695-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931071 | Joli Beauchamp | Occupational Therapy Assistant | 1410 Dr Martin Luther King Jr St. North, Safety Harbor, FL 34695 | 2018-08-14 |
| 1912494733 | Bryan Singleton | Occupational Therapist | 1410 Dr. M, Dr Martin Luther King Jr Street North, Safety Harbor, FL 34695 | 2018-04-17 |
| 1639673007 | Jessica Rojas | Occupational Therapy Assistant | 1410 Dr. Martin Luther King St N, Safety Harbor, FL 34695 | 2018-03-21 |
| 1326547365 | Heather Anne Ramous | Nurse Practitioner | 1840 Mease Dr Ste 307, Safety Harbor, FL 34695 | 2018-02-05 |
| 1922531730 | Jessica Robin Sternberg | Physical Therapy Assistant | 1410 Dr. Martin Luther King Jr. Street North, Safety Harbor, FL 34695 | 2017-04-07 |
| 1861863102 | Pamela Guida | Physical Therapy Assistant | 1410 Dr M L King Jr St N, Safety Harbor, FL 34695 | 2015-10-13 |
| 1962888792 | Lauren Ramos | Nurse Practitioner | 1840 Mease Dr., Suite 204, Palm Harbor, FL 34695 | 2015-08-04 |
| 1306285010 | Paulas Madhusudan Vyas | Urology | 1840 Mease Dr Ste 300, Safety Harbor, FL 34695 | 2013-06-17 |
| 1871803643 | Bridget Stirling Tyrka | Contractor | 1045 3rd St N, Safety Harbor, FL 34695 | 2010-10-14 |
| 1326211574 | Helen L. Techler | Audiologist | 583 Main Street, Suite A, Safety Harbor, FL 34695 | 2008-04-09 |
| Find all providers in zip 34695 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063882595 | Michael Notbohm | Radiologic Technologist | 6012 Yeats Manor Dr, Unit 102, Tampa, FL 33616-1444 | 2015-09-27 |
| 1174859482 | June Robin Kelly | Radiologic Technologist | 1509 Adams Cir E, Largo, FL 33771-6420 | 2009-10-20 |
| 1568693190 | Kathy J Davis | Radiologic Technologist | 5631 103rd Ter, Pinellas Park, FL 33782-2708 | 2009-07-30 |
| 1710137583 | John Kelly Bennett | Radiologic Technologist | 1661 Kinsmere Dr, Trinity, FL 34655-4528 | 2008-09-29 |
| 1053341412 | Elie M Polissaint | Radiologic Technologist | 3630 William St, Lake Park, FL 33403-1634 | 2006-07-03 |
| 1194795658 | Southern Open Mri Inc | Radiologic Technologist | 289 Sw Stonegate Ter, Suite 102, Lake City, FL 32024-3456 | 2006-01-25 |
| 1659917375 | Edward Sherwood | Radiologic Technologist | 800 Meadows Rd, Boca Raton, FL 33486-2304 | 2019-11-18 |
| 1457586869 | Denice L Spencer | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2009-05-29 |
| 1689792202 | Margaret Louise Dees | Radiologic Technologist | 12037 Cortez Blvd, Brooksville, FL 34613-7349 | 2007-03-26 |
| 1700830890 | Tallahassee Diagnostic Imaging Ltd | Radiologic Technologist | 15 Council Moore Rd, Crawfordville, FL 32327-3117 | 2006-05-22 |
| Find all providers with the same taxonomy | ||||
| City | SAFETY HARBOR |
| Zip Code | 34695 |
Please comment or provide details below to improve the information on IRINA WEIDMAN.
| 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.