Organization Active NPI

Mickey Weisz MD PC

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1174798946
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MICKEY WEISZ MD PC
Doing business as
NEVADA DIGESTIVE DISEASE CENTER
Practice address
7150 Smoke Ranch Rd Ste 110
Las Vegas, NV 89128-3157
Phone
(702) 804-1818
Fax
(702) 804-1720
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Nicolae Weisz, MDNPI 1538260476
Title
President
Phone
(702) 804-1818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

7150 Smoke Ranch Rd Ste 110
Las Vegas, NV 89128-3157

Mailing address

PO Box 371323
Las Vegas, NV 89137-1323
Phone (702) 804-1818

Other practice location 1

9120 W Post Rd Ste 104
Las Vegas, NV 89148-2426
Phone (702) 804-1818

Other names 1

  • NEVADA DIGESTIVE DISEASE CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080625000209 NV Part B Supplier - Clinic/Group Practice 0648341271 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

7150 Smoke Ranch Rd
#110
Las Vegas, NV 89128
Phone (702) 485-5100

9120 W Post Rd
Ste 104
Las Vegas, NV 89148
Phone (702) 804-1818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1174798946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371323",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891371323",
            "telephone_number": "702-804-1818",
            "fax_number": "702-804-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 SMOKE RANCH RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157",
            "telephone_number": "702-804-1818",
            "fax_number": "702-804-1720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9120 W Post Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891482426",
            "country_code": "US",
            "telephone_number": "702-804-1818",
            "fax_number": "702-804-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICKEY WEISZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "WEISZ",
        "authorized_official_first_name": "NICOLAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-804-1818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEVADA DIGESTIVE DISEASE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEVADA DIGESTIVE DISEASE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.