Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 0101242939 | VA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 39392 | TN |
NPI | 1184627820 |
---|---|
Provider Name | Carl B Weiss |
First Address | Mechanicsville, VA 23116-2336 |
Second Address | Mechanicsville, VA 23116-2336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2005 |
Last Update Date | 01/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001933098 | (05) | MS |
0723280001 | PALMETTO (01) | TN |
110318002 | ARKANSAS MEDICAID (01) | AR |
1184627820 | (05) | VA |
3371161 | (05) | TN |
4101961 | BCBS (01) | TN |
620819926 | AETNA (01) | TN |
620819926 | BCBS (01) | MS |
620819926 | CIGNA (01) | TN |
E44944 | (02) | TN |
P00615742 | RAILROAD MEDICARE (01) | VA |