Organization Active NPI

William Weis DPM SC

  • Podiatrist
  • Oak Creek, WI
National Provider Identifier
1407877319
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
WILLIAM WEIS DPM SC
Practice address
331 E Puetz Rd
Suite #105
Oak Creek, WI 53154-3254
Phone
(414) 768-9933
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Weis, MD
Title
Owner/President
Phone
(414) 768-9933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

331 E Puetz Rd
Suite #105
Oak Creek, WI 53154-3254

Mailing address

331 E Puetz Rd
Suite #105
Oak Creek, WI 53154-3254
Phone (414) 768-9933

Other identifiers 1

IdentifierTypeStateIssuer
43210900MedicaidWI

National Provider Directory

National Provider Directory

Locations

3805B Spring St
Ste 340
Mount Pleasant, WI 53405
Phone (262) 248-9565

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1407877319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E PUETZ RD",
            "address_2": "SUITE #105",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543254",
            "telephone_number": "414-768-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E PUETZ RD",
            "address_2": "SUITE #105",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543254",
            "telephone_number": "414-768-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM WEIS DPM SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "WEIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "414-768-9933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43210900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.