Provider Demographics
NPI:1720008220
Name:WEEMS ROLAND MCARTHUR MD PA
Entity Type:Organization
Organization Name:WEEMS ROLAND MCARTHUR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WEEMS
Authorized Official - Middle Name:ROLAND
Authorized Official - Last Name:MCARTHUR
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:850-769-3283
Mailing Address - Street 1:PO BOX 819
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32402-0819
Mailing Address - Country:US
Mailing Address - Phone:850-769-3283
Mailing Address - Fax:850-785-6981
Practice Address - Street 1:400 W 19TH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4602
Practice Address - Country:US
Practice Address - Phone:850-769-3283
Practice Address - Fax:850-785-6981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME14599207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03066OtherBCBS
FLK8102Medicare ID - Type Unspecified
FLD68994Medicare UPIN