Kenneth Weiss, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS006790E Issued in PA

Practice address

8101 Washington LN
Suite 101
Wyncote, PA 19095-1625

Phone

(215) 886-0440

Fax

(215) 886-0447

NPI assigned

May 10, 2006

Last updated

Jul 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Einstein Community Health Associates IncGroup PAC ID 7012818008, 196 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145
• Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
• Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Einstein Community Health Associates, Inc

  • Family Medicine Physician
  • Phila, PA
  • NPI 1558316109
  Medicare reassignment Care Compare group NPD
• Einstein Community Health Associates, Inc

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1427662931
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Redeemer Health System

  dba Holy Redeemer Hospital & Medical Center

  • General Acute Care Hospital
  • Meadowbrook, PA
  • NPI 1750371522
  Care Compare affiliation
• Jeffhome PA, LLC.

  dba Jefferson Health at Home by BAYADA

  • Home Health Agency
  • Horsham, PA
  • NPI 1639826969
  Care Compare affiliation
• Jeffhome PA, LLC.

  dba Jefferson Health at Home by BAYADA

  • Home Health Agency
  • Norristown, PA
  • NPI 1902553233
  Care Compare affiliation
• Thomas Jefferson University Hospitals Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1215916002
  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1225087877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 WASHINGTON LN",
            "address_2": "SUITE 101",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951625",
            "telephone_number": "215-886-0440",
            "fax_number": "215-886-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 WASHINGTON LN",
            "address_2": "SUITE 101",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951625",
            "telephone_number": "215-886-0440",
            "fax_number": "215-886-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "KENNETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006790E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Love Walton-Heuges, LCSW
• Quincy Wang, DDS
• Shanise Weatherbee, LPC
• Elizabeth S Webb, M.D.
• Jessica C Weisel, DPT
• Kaila Nashai Williams, PT, DPT
• Joyce D Wilson-Roberts
• Wisteria Pain and Spine LLC
• Jean Hampton Woods, RNPMHCNS-BC
• Wyncote Care LLC

• Family Medicine Physician in Wyncote, PA
• Providers in Wyncote, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.