Active NPI
Gary Michael Weiss, M.D.
- Diagnostic Radiology Physician
- Lahaina, HI
National Provider Identifier
1235114505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD9383
- Practice address
- 167 Kualapa PL
Lahaina, HI 96761-2902 - Phone
- (952) 595-1100
- Fax
- (952) 942-3361
- NPI assigned
- Dec 9, 2005
- Last updated
- Dec 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME37447 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | MD9383 | HI | Primary |
Addresses
Primary practice location
167 Kualapa PL
Lahaina, HI 96761-2902
Mailing address
11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME37447 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singleton Associates PA | Diagnostic Radiology | Past | Accepting new patients |
| Orlando Cancer Center Inc | Past | Accepting new patients | |
| Medical Center Radiology Group of DRS Curry Harding George & Eliscu | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1902965536
-
dba MD Anderson Cancer Center Orlando
- Medical Oncology Physician
- Orlando, FL
- NPI 1578510582
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1235114505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN",
"address_2": "SUITE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445347",
"telephone_number": "952-595-1100",
"fax_number": "952-942-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 KUALAPA PL",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967612902",
"telephone_number": "952-595-1100",
"fax_number": "952-942-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "GARY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME37447",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD9383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lahaina, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.