Individual provider Active NPI

Howard Ivan Weiss, M.D.

  • Neurology Physician
  • Creve Coeur, MO
National Provider Identifier
1063429215
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
R5105 Issued in MO
Practice address
456 N New Ballas Rd
Suite 324
Creve Coeur, MO 63141-6831
Phone
(314) 569-3381
Fax
(314) 569-1383
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X R5105 MO Primary

Addresses

Primary practice location

456 N New Ballas Rd
Suite 324
Creve Coeur, MO 63141-6831

Mailing address

456 N New Ballas Rd
Suite 324
Creve Coeur, MO 63141-6831
Phone (314) 569-3381

Other identifiers 6

IdentifierTypeStateIssuer
168031OtherHEALTHLINK HMO/PPO
43102995602OtherCARE MGMT RESOURCES
130005594OtherRAILROAD MEDICARE
2145V43102995602OtherGROUP HEALTH PLAN
17836OtherMOANTHEM BLUE CROSS
05-00073OtherMOUHC MIDWEST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R5105MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
World Wide Neurology, LTD Neurology Past Accepting new patients
Sjmgroup Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1063429215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD",
            "address_2": "SUITE 324",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416831",
            "telephone_number": "314-569-3381",
            "fax_number": "314-569-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD",
            "address_2": "SUITE 324",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416831",
            "telephone_number": "314-569-3381",
            "fax_number": "314-569-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "HOWARD",
        "middle_name": "IVAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "R5105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK HMO/PPO",
            "identifier": "168031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE MGMT RESOURCES",
            "identifier": "43102995602",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130005594",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "2145V43102995602",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "17836",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC  MIDWEST",
            "identifier": "05-00073",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.