REBECCA WIESENFELD (NPI# 1740675974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740675974 |
| Entity Type | Individual |
| Full Name | REBECCA WIESENFELD |
| Credential | MD |
| Practice Address |
701 W Plymouth Ave Deland FL 32120-9430 |
| Mailing Address |
Po Box 9430 Daytona Beach FL 32120-9430 |
| Practice Telephone | 3869434522 |
| Mailing Telephone | 3862747800 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2018-07-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 135501 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4755 Ogletown Stanton Rd, Newark, DE 197182200 | 3027331148 |
| Street Address |
701 W PLYMOUTH AVE |
| City | DELAND |
| State | FL |
| Zip Code | 32120-9430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273836 | Ivan Menezes | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2005-11-22 |
| 1790319994 | Coreen Kelly | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-02-26 |
| 1003449117 | Brent Wilkins | Physician Assistant | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-02-17 |
| 1497385991 | Kathrine N Rigney | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-01-23 |
| 1427690890 | Delaney Rodriguez | Registered Nurse | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2019-10-17 |
| 1275094195 | Eliza Jane Chevalier | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2019-03-26 |
| 1245798206 | Apryl D Jania | Nurse Practitioner | 701 W Plymouth Ave, Deland, FL 32720 | 2019-03-08 |
| 1093297046 | Michael Angelo Carulli | Pharmacist | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2018-09-05 |
| 1629559240 | April Kelton | Dietitian, Registered | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2018-08-22 |
| 1285149229 | Dianne Marie David | Registered Nurse | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2017-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508830761 | Steven M Grieper | Hospitalist | 303 North Clyde Morris Blvd, Daytona, FL 32120 | 2006-02-15 |
| 1649561671 | Luke Gerald Guillot | Emergency Medicine | 701 Plymouth Ave, Deland, FL 32120-9430 | 2011-04-25 |
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649561671 | Luke Gerald Guillot | Emergency Medicine | 701 Plymouth Ave, Deland, FL 32120-9430 | 2011-04-25 |
| 1336139328 | Willie Bruce | Emergency Medicine | 126 Enclave Ave, Deland, FL 32724-8072 | 2005-10-21 |
| 1275094195 | Eliza Jane Chevalier | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2019-03-26 |
| 1619403383 | Alyssa Harun | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2017-05-02 |
| 1821529926 | Michael Andrew Schneider | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2017-03-21 |
| 1922494137 | Daniel Mcdermott | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720 | 2015-04-14 |
| 1710372891 | James Ontell | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720 | 2015-04-05 |
| 1851785265 | Justin Beyer | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720 | 2015-03-24 |
| 1790035384 | William Trinh | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720 | 2012-09-11 |
| 1013202233 | Justin James Mcnamee | Emergency Medicine | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2011-06-15 |
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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.