DR. JOSEPH WEATHERLY (NPI# 1417392697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417392697 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH WEATHERLY |
| Credential | D.O. |
| Practice Address |
5860 Ranch Lake Blvd Suite 200 Bradenton FL 34202-3708 |
| Practice Telephone | 9413888997 |
| Practice Fax Number | 9413065876 |
| Mailing Telephone | 9413888997 |
| Mailing Fax Number | 9413065876 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2015-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | UO3136 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | OS12554 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5860 RANCH LAKE BLVD SUITE 200 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34202-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948318 | Irwin Becker | Family Medicine | 5860 Ranch Lake Blvd, Suite 200, Bradenton, FL 34202-3708 | 2005-08-02 |
| 1114572856 | Nicole Kay | Family Medicine | 5860 Ranch Lake Blvd, Bradenton, FL 34202-3718 | 2019-08-08 |
| 1578916508 | Tara Johnson | Nurse Practitioner | 5860 Ranch Lake Blvd, Suite 200, Bradenton, FL 34202-3718 | 2016-07-14 |
| 1467838102 | Nalin LLC | Clinic/Center | 5860 Ranch Lake Blvd, Suite A, Bradenton, FL 34202-3708 | 2015-08-05 |
| 1417236407 | Elizabeth Ann Timpe | Nurse Practitioner | 5860 Ranch Lake Blvd, Suite 200, Bradenton, FL 34202-3718 | 2011-08-09 |
| 1861710923 | Justin Fenner Letourneau | Physician Assistant | 5860 Ranch Lake Blvd, Suite 200, Bradenton, FL 34202-3708 | 2010-05-13 |
| 1184889602 | Paul Seguin | Physical Therapist | 5860 Ranch Lake Blvd, Suite 102, Bradenton, FL 34202-3719 | 2008-07-24 |
| 1245409655 | Doris K Ramirez Nessetti | Obstetrics & Gynecology | 5860 Ranch Lake Blvd, Suite 200, Bradenton, FL 34202-3708 | 2008-02-29 |
| 1518152081 | Sanjeev Joseph | Physical Therapist | 5860 Ranch Lake Blvd, Suite A, Bradenton, FL 34202-3708 | 2007-09-07 |
| 1073669271 | Claudia Ann Enos-castillo | Nurse Practitioner | 5860 Ranch Lake Blvd, Suite 200, Bradenton, FL 34202-3718 | 2007-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1528617651 | Bass Partners LLC | Behavioral Analyst | 20818 Parkstone Terrace, Lakewood Ranch, FL 34202 | 2019-09-11 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1205496171 | Bryan J Morgan Lwr Pa | Dentist | 11157 Sr70 E, Lakewood Ranch, FL 34202 | 2019-06-13 |
| 1023677358 | Taneshia Mcclendon | Nurse Practitioner | 6310 Health Park Way Ste 100, Lakewood Ranch, FL 34202 | 2019-06-11 |
| 1497231542 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7325 University Pkwy, Lakewood Ranch, FL 34202 | 2018-07-12 |
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| Find all providers in zip 34202 | ||||
| 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 |
|---|---|---|---|---|
| 1831797737 | Rhc Bradenton LLC | Family Medicine | 4502 Cortez Rd W Ste 301a, Bradenton, FL 34210-3124 | 2020-10-13 |
| 1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
| 1386201408 | Amado Castellon | Family Medicine | 822 62nd Street Cir E Ste 102, Bradenton, FL 34208-6208 | 2019-05-23 |
| 1316410475 | Open Access Urgent Care | Family Medicine | 1838 Rye Rd Ste 107, Bradenton, FL 34212-9038 | 2019-01-10 |
| 1699219113 | Lakewood Ranch Primary Care Associates | Family Medicine | 822 62nd Street Cir E, Suite 102, Bradenton, FL 34208-6208 | 2016-12-19 |
| 1346633708 | Cortez Knee and Sports Medicine, LLC | Family Medicine | 6203 Cortez Rd W, Bradenton, FL 34210-2602 | 2015-03-10 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1679984561 | Ofelia Alessandra Lopez | Family Medicine | 1911 83rd St Nw, Bradenton, FL 34209-9753 | 2014-05-13 |
| 1558655191 | Victor Lee Kim | Family Medicine | 8614 E State Road 70 Ste 200, Bradenton, FL 34202-3710 | 2011-05-31 |
| 1255663126 | Mcr Health, Inc. | Family Medicine | 1649 1st St, Bradenton, FL 34208-3231 | 2010-02-03 |
| Find all providers in BRADENTON | ||||
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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.