Larry W Weiss, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

20021 Issued in IA

Practice address

208 E Church St
Suite 102
Marshalltown, IA 50158-2961

Phone

(641) 752-9538

Fax

(641) 753-2190

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1194734194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E CHURCH ST",
            "address_2": "SUITE 102",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582961",
            "telephone_number": "641-752-9538",
            "fax_number": "641-753-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E CHURCH ST",
            "address_2": "SUITE 102",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582961",
            "telephone_number": "641-752-9538",
            "fax_number": "641-753-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LARRY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "20021",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "IA",
            "license": "20021",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IA",
            "license": "20021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123562",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Steven Walter, DPT
• Tyra Wanatee-Flores, LMSW
• India Warren, PA-C
• Cheryl Watson, RPH
• Dixie M Weiss, RPH
• Heidi Marie Welch, P.T., A.T.C.
• Matthew C Welp, PHARMD
• Blaine Brian Westemeyer, M.D.
• Marie Antoinette Whannel, ARNP
• Jeff Wheeler

• Dermatology Physician in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.