Organization Active NPI

Michael D Weiss DPM and Associates, LLC

  • Podiatrist
  • Saint Louis, MO
National Provider Identifier
1154426195
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MICHAEL D WEISS DPM AND ASSOCIATES, LLC
Practice address
969 N Mason Rd Ste 180
Saint Louis, MO 63141-6338
Phone
(314) 542-2313
Fax
(314) 542-2315
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Mrs. Robyn Weiss
Title
Office Manager
Phone
(314) 542-2313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

969 N Mason Rd Ste 180
Saint Louis, MO 63141-6338

Mailing address

PO Box 1125
Maryland Heights, MO 63043-0125
Phone (314) 542-2313

Other identifiers 2

IdentifierTypeStateIssuer
CF9449OtherMORAILROAD MEDICARE
500122106MedicaidMO

National Provider Directory

National Provider Directory

Locations

969 N Mason Rd
Ste 180
Saint Louis, MO 63141
Phone (314) 542-2313

660 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 569-2313

Practitioners & affiliated clinicians

Practitioners 5

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1154426195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630430125",
            "telephone_number": "314-542-2313",
            "fax_number": "314-542-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 N MASON RD STE 180",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416338",
            "telephone_number": "314-542-2313",
            "fax_number": "314-542-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D WEISS DPM AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-542-2313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF9449",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500122106",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.