Active NPI
Marvin Weiss, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP135129
- Practice address
- 1500 Citywest Blvd Ste 300
Houston, TX 77042-2549 - Phone
- (976) 204-0713
- Fax
- (713) 458-4229
- NPI assigned
- May 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 635921 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 11011475 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 919662 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP135129 | TX | Primary |
Addresses
Primary practice location
1500 Citywest Blvd Ste 300
Houston, TX 77042-2549
Mailing address
6780 Pershing St
Hollywood, FL 33024-1834
Phone (347) 254-4798
Other practice location 1
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 463-5271
Other practice location 2
2424 Kings Hwy
Apt 3A
Brooklyn, NY 11229-1669
Phone (347) 254-4798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone (954) 939-5000
Hospital & facility affiliations
- Broward Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 635921 | NY | MD | Registered Nurse |
| 11011475 | FL | MD | Certified Registered Nurse Anesthetist |
| 919662 | TX | MD | Certified Registered Nurse Anesthetist |
| AP135129 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesco North Broward LLC | Current | Accepting new patients | |
| American Anesthesiology of Florida, Inc | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Florida, Inc | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients |
Locations
21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002
3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Anesthesiology Physician
- Ft Lauderdale, FL
- NPI 1699763862
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1760741797
-
- Anesthesiology Physician
- Coral Springs, FL
- NPI 1881266492
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1124554340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6780 PERSHING ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330241834",
"telephone_number": "347-254-4798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CITYWEST BLVD STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422549",
"telephone_number": "976-204-0713",
"fax_number": "713-458-4229"
}
],
"practiceLocations": [
{
"address_1": "4725 N Federal Hwy",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333084603",
"country_code": "US",
"telephone_number": "954-463-5271",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2424 Kings Hwy",
"address_2": "Apt 3A",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112291669",
"country_code": "US",
"telephone_number": "347-254-4798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISS",
"first_name": "MARVIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-08",
"last_updated": "2021-09-29",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "635921",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11011475",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "919662",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP135129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.