Organization Active NPI

Weiss Medical Associates, PC

  • Specialist
  • Vail, CO
National Provider Identifier
1063627735
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35800 Issued in CO
Legal business name
WEISS MEDICAL ASSOCIATES, PC
Practice address
3971 Big Horn Rd
Suite 7DD
Vail, CO 81657-4783
Phone
(970) 477-0700
NPI assigned
May 14, 2007
Last updated
Sep 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Dr. Gary M Weiss, M.D.NPI 1710967328
Title
President
Phone
(321) 727-9063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 35800 CO Primary

Addresses

Primary practice location

3971 Big Horn Rd
Suite 7DD
Vail, CO 81657-4783

Mailing address

PO Box 4838
Eagle, CO 81631-4838
Phone (970) 477-0700

Other identifiers 1

IdentifierTypeStateIssuer
35800OtherCOSTATE LIC NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1063627735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4838",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816314838",
            "telephone_number": "970-477-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3971 BIG HORN RD",
            "address_2": "SUITE 7DD",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816574783",
            "telephone_number": "970-477-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-727-9063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "35800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC NUMBER",
            "identifier": "35800",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.