Active NPI
Jane E Weiss, PA
- Medical Physician Assistant
- Tomah, WI
National Provider Identifier
1245235662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 783
- Practice address
- 325 Butts Ave
Tomah, WI 54660-1412 - Phone
- (608) 372-5951
- NPI assigned
- Jun 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 783 | WI | Primary |
Addresses
Primary practice location
325 Butts Ave
Tomah, WI 54660-1412
Mailing address
325 Butts Ave
Tomah, WI 54660-1412
Phone (608) 372-5951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42951100 | Medicaid | WI |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 783 | WI | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1245235662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 BUTTS AVE",
"city": "TOMAH",
"state": "WI",
"postal_code": "546601412",
"telephone_number": "608-372-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 BUTTS AVE",
"city": "TOMAH",
"state": "WI",
"postal_code": "546601412",
"telephone_number": "608-372-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "JANE",
"middle_name": "E",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42951100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tomah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.