Nathaniel Scott Weiss
Individual provider Active NPI Chiropractor · Luzerne, MI
NPI 1306359708 · NPPES record last updated Nov 8, 2017
Key facts
- NPI
- 1306359708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301010573 (MI)
- Practice address
- 2172 Deeter Rd
Luzerne, MI 48636-9775 - Phone
- (989) 889-1477
- NPI assigned
- Nov 8, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vitality Healthcare PC
Practice addresses (Care Compare)
5717 Oakland Dr
Suite a
Portage, MI 49024-1116
Phone (269) 323-4473
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180709002241 | MI | Practitioner - Chiropractic | 6002162849 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010573 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Healthcare PC | Current |
Accepting new patients | |
| Specialized Family Chiropractic PC | Chiropractor | Current |
Accepting new patients |
| Doctor Hohman Enterprises | Chiropractor | Current |
Accepting new patients |
| Big Creek Chiropractic & Nutrition PLLC | Chiropractor | Past |
Accepting new patients |
Locations
5717 Oakland Dr
Unit A
Portage, MI 49024
5717 Oakland Dr
Ste A
Portage, MI 49024
Phone (269) 218-2443
1107 W Broadway St
Three Rivers, MI 49093
Phone (269) 273-6712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010573 | MI | Yes |
Addresses
Primary practice location
2172 Deeter Rd
Luzerne, MI 48636-9775
Mailing address
2172 Deeter Rd
Luzerne, MI 48636-9775
Phone (989) 889-1477
Other providers in Luzerne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.