RANDALL P WEYRICH MD LLC (NPI# 1720527021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720527021 |
| Entity Type | Organization |
| Organization Name | RANDALL P WEYRICH MD LLC |
| Practice Address |
6602 Seabird Way Apollo Beach FL 33572-3003 |
| Practice Telephone | 3046393427 |
| Practice Fax Number | 8134980355 |
| Mailing Telephone | 3046393427 |
| Mailing Fax Number | 8134980355 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | DR. RANDALL P WEYRICH (PROVIDER) |
| Authorized Official Telephone | 3046393427 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
ME111722 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019027800 | 05 |
| Street Address |
6602 SEABIRD WAY |
| City | APOLLO BEACH |
| State | FL |
| Zip Code | 33572-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932167947 | Randall P Weyrich | Otolaryngology | 6602 Seabird Way, Apollo Beach, FL 33572-3003 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367001 | Carolyne P Cole | Marriage & Family Therapist | Revolutionary Change Counseling, 300 Frandorson Circle #200, Apollo Beach, FL 33572 | 2020-02-10 |
| 1295380111 | Florida Home Care Associates LLC | In Home Supportive Care | 5948 Frond Way, Apollo Beach, FL 33572 | 2019-08-07 |
| 1386156297 | Orthopros Pllc | Dentist | 423 Apollo Beach Blvd, Apollo Beach, FL 33572 | 2017-11-01 |
| 1588907521 | Raymond Eric Major | Family Medicine | 917 Symphony Isles Bl, Apollo Beach, FL 33572 | 2013-03-28 |
| 1760780399 | Sharon Ann Collier | Dentist | 101 Flamingo Dr., Ste. D Apollo Beach Family Dentistry, Apollo Beach, FL 33572 | 2011-03-07 |
| 1003091380 | John R Hayden | Chiropractor | 100 Frandson Ct., Suite 101, Apollo Beach, FL 33572 | 2008-01-04 |
| 1275541195 | William H Smith | Massage Therapist | 100 Frandorson Circle, Suite 201, Apollo Beach, FL 33572 | 2006-08-04 |
| 1922023639 | Theresa Marie Thiele | Physician Assistant | 201 Flamingo Dr, Apollo Beach, FL 33572 | 2006-07-13 |
| 1912940073 | Suzzette Marie Svercek | Massage Therapist | 813 Chipaway Drive, Apollo Beach, FL 33572 | 2006-06-14 |
| 1457320194 | Accupath Plus LLC | Clinical Medical Laboratory | 5938 Frond Way, Apollo Beach, FL 33572 | 2006-03-15 |
| Find all providers in zip 33572 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317479 | Ent Associates Pa | Otolaryngology | 3390 Tamiami Trl Ste 201-202, Port Charlotte, FL 33952-8157 | 2019-10-13 |
| 1679878615 | Herbert Kean | Otolaryngology | 799 Crandon Blvd, Apt 1407, Key Biscayne, FL 33149 | 2011-01-24 |
| 1881784841 | Scott Jeffery Trimas | Otolaryngology | 1361 13th Ave South, Ste 125, Jacksonville, FL 32250 | 2006-10-13 |
| 1225032006 | Rangaswamy Asokan | Otolaryngology | 2651 Sw 32nd Pl, Ocala, FL 34471 | 2005-06-09 |
| 1851818686 | Accent Physician Specialists, P.a. | Otolaryngology | 3304 Sw 34th Cir Ste 103, Ocala, FL 34474-3357 | 2017-08-23 |
| 1326416413 | Edward H. Farrior, Md, Pa | Otolaryngology | 2908 W Azeele St, Tampa, FL 33609-3110 | 2015-09-08 |
| 1528442332 | Genesiscare of Florida LLC | Otolaryngology | 4571 Colonial Blvd, Suite 210, Fort Myers, FL 33966-1156 | 2015-07-13 |
| 1225448921 | The Palm Beach Center for Facial Plastic & Laser Surgery, P.a. | Otolaryngology | 4495 Military Trl Ste 202, Jupiter, FL 33458 | 2014-05-02 |
| 1801219944 | Edward J. Gross, M.d., P.l. | Otolaryngology | 1035 Primera Blvd, Lake Mary, FL 32746-2193 | 2014-01-25 |
| 1205175635 | Barnett Facial Plastic & Reconstructive Surgery, Pa. | Otolaryngology | 1032 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6661 | 2013-02-05 |
| Find all providers with the same taxonomy | ||||
| City | APOLLO BEACH |
| Zip Code | 33572 |
Please comment or provide details below to improve the information on RANDALL P WEYRICH MD LLC.
| 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.