Active NPI
Sean Richard Weiss, MD
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Metairie, LA
National Provider Identifier
1255549101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- License
- MD201036
- Practice address
- 2201 Veterans Memorial Blvd
Suite 408
Metairie, LA 70002-6323 - Phone
- (504) 814-3223
- Fax
- (504) 265-9498
- NPI assigned
- May 21, 2007
- Last updated
- Dec 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 201036 | LA | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | MD201036 | LA | Primary |
Addresses
Primary practice location
2201 Veterans Memorial Blvd
Suite 408
Metairie, LA 70002-6323
Mailing address
2201 Veterans Memorial Blvd
Suite 408
Metairie, LA 70002-6323
Phone (504) 814-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1238333 | Medicaid | LA |
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 |
|---|---|---|---|
| 201036 | LA | MD | Facial Plastic Surgery Physician |
| MD201036 | LA | MD | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lake of the Lake Head and Neck Ce | Current | Accepting new patients | |
| Wellstar Bi-County ENT, LLC | Past | Accepting new patients |
Locations
4950 Essen Ln
Ste A
Baton Rouge, LA 70809
Phone (225) 765-1765
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.
-
dba Dr. Sean Weiss - Facial Plastic Surgery
- Facial Plastic Surgery Physician
- Metairie, LA
- NPI 1124516844
-
- Specialist
- Baton Rouge, LA
- NPI 1619919271
-
- Otolaryngology Physician
- Douglasville, GA
- NPI 1629399555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1255549101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 VETERANS MEMORIAL BLVD",
"address_2": "SUITE 408",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700026323",
"telephone_number": "504-814-3223",
"fax_number": "504-265-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 VETERANS MEMORIAL BLVD",
"address_2": "SUITE 408",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700026323",
"telephone_number": "504-814-3223",
"fax_number": "504-265-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "SEAN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "LA",
"license": "201036",
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "LA",
"license": "MD201036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1238333",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
- Linda Green Weinmunson, L.M.T.
- Brooke Rabin Weinstein, OTD, LOTR
- Robert Louis Weisdorffer, CRNA
- Karen Joy Weisman-Ortenberg, M.D.
- Abigail Louise Weiss
- Frank Joseph Welch, M.D., M.S.P.H.
- Judith Johnson Welch, M.A.
- Well Psychotherapy
- Frances Strempler Wellington, LCSW-BACS
- Wellistics Physical Therapy Center L3C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.