Active NPI
Terry David Weiss, M.D.
- Rheumatology Physician
- Saint Louis, MO
National Provider Identifier
1255392999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 34693
- Practice address
- 522 N New Ballas Rd
Suite 240
Saint Louis, MO 63141-6857 - Phone
- (314) 567-5100
- Fax
- (314) 567-3387
- NPI assigned
- Mar 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 34693 | MO | Primary |
Addresses
Primary practice location
522 N New Ballas Rd
Suite 240
Saint Louis, MO 63141-6857
Mailing address
522 N New Ballas Rd
Suite 240
Saint Louis, MO 63141-6857
Phone (314) 567-5100
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A12730 | Other | MO | MERCY |
| 3200024 | Other | MO | UNITED HEALTH CARE |
| 200860211 | Medicaid | MO | |
| 118472 | Other | MO | HEALTHLINK |
| 5792081 | Other | MO | AETNA |
| 18210 | Other | MO | BLUE CROSS BLUE SHIELD |
| A12740 | Other | MO | GREAT WEST |
| A12740 | Other | MO | PHCS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34693 | MO | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1255392999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 N NEW BALLAS RD",
"address_2": "SUITE 240",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416857",
"telephone_number": "314-567-5100",
"fax_number": "314-567-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 N NEW BALLAS RD",
"address_2": "SUITE 240",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416857",
"telephone_number": "314-567-5100",
"fax_number": "314-567-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "TERRY",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MO",
"license": "34693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "A12730",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "3200024",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200860211",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "118472",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5792081",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "18210",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "A12740",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "A12740",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.