DR. FREDERICK THOMAS WEBER (NPI# 1568465896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568465896 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK THOMAS WEBER |
| Credential | MD |
| Practice Address |
1859 Sw Newland Way Lake City FL 32025-6966 |
| Practice Telephone | 3867580003 |
| Practice Fax Number | 3867557940 |
| Mailing Telephone | 3867580003 |
| Mailing Fax Number | 3867557940 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2011-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
ME24619 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 055611400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023106200 | Frederick Joseph Weber | Physician Assistant | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2006-10-11 |
| 1316995509 | Frederick L Weber Jr. | Internal Medicine | 10600 Montgomery Rd, Cincinnati, OH 45242 | 2006-05-04 |
| 1306848023 | Frederick H Weber Jr. | Internal Medicine | 619 19th St S, Birmingham, AL 35249-0001 | 2005-08-12 |
| Street Address |
1859 SW NEWLAND WAY |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-6966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711237 | Brittany Lynn Bailey | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2019-10-15 |
| 1003457623 | Cheryl Renae Abersold | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2019-10-04 |
| 1467910109 | Kimberlei M Faller | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2019-03-12 |
| 1437636370 | Leslee Stafford | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2018-07-24 |
| 1336691658 | Sabrina Green | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2016-11-03 |
| 1013466697 | Tasha Ellsberry | Registered Nurse | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2016-09-24 |
| 1053869545 | Tyler Chase | Physician Assistant | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2016-09-14 |
| 1801279179 | Megan Tenney | Nurse Practitioner | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2015-07-06 |
| 1639557069 | Jennifer Nguyen Simpson | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2015-05-18 |
| 1053727081 | Amna Zarar | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2014-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356500987 | Milla Pediatrics and Associates, Inc | Pediatrics | 1847 Sw Barnett Way, Lake City, FL 32025-6957 | 2008-06-09 |
| 1669476552 | Samuel Santelices | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1609424217 | North Florida Pediatrics, Pa | Pediatrics | 145 Hilden Road Suite 101, Ponte Vedra, FL 32081 | 2019-08-27 |
| 1841794682 | W.b. Stewart Tigers Athletics Boosters | Pediatrics | 1658 Kings Rd, Jacksonville, FL 32209-6167 | 2018-03-19 |
| 1710330923 | Juan Ruiz-unger Md Pa | Pediatrics | 8900 Sw 24th St Ste 204, Miami, FL 33165-2075 | 2016-07-22 |
| 1922479625 | Bee Well Kidz Inc | Pediatrics | 13802 Landstar Blvd Ste 109, Orlando, FL 32824-5500 | 2015-10-08 |
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1679965487 | Howard I Finer Md Faap | Pediatrics | 2135 W State Road 434, Longwood, FL 32779-4983 | 2015-03-03 |
| 1154712198 | Pediatric &adolescent Medicine | Pediatrics | 7150 W 20th Ave Ste 612, Hialeah, FL 33016-5534 | 2015-02-12 |
| 1689064750 | Hilda Tejero | Pediatrics | 9495 Sunset Dr Ste B190, Miami, FL 33173-5419 | 2015-01-28 |
| 1720494024 | Focus-fl 1012 Pllc | Pediatrics | 1501 S Dale Mabry Hwy Ste A6, Tampa, FL 33629-5837 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
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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.