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CRYSTAL WEAKS PA-C NPI 1053348300


NPI Information

NPI: 1053348300
Provider Name: CRYSTAL WEAKS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: MULTICARE HEALTH SYSTEM

PECOS Registration: Yes

Address:
8010 SUMMERLIN LAKES DR
SUITE 100
FORT MYERS, FL
ZIP 33907
Phone: (239) 939-1767
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Crystal Weaks, PA-C is a surgical physician assistant in Fort Myers, FL with 26 years of experience. Crystal Weaks, PA-C NPI is 1053348300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8010 SUMMERLIN LAKES DR
SUITE 100
FORT MYERS, FL
ZIP 33907-849
Phone: (239) 939-1767
Fax: (239) 939-5895

The NPI 1053348300 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
  • Heart artery bypass to repair one artery (HCPCS:33533)

The enumeration date for this NPI number is 6/26/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalPA9100925FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00145895OTHERRAILROAD MEDICARE
2E2765YMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3S84267MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.