NPIMap

Individual provider Active NPI

George G Weis, DO

  • Family Medicine Physician
  • Amsterdam, NY
National Provider Identifier
1457352999
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
163421 Issued in NY
Practice address
119 Holland Circle Dr
Amsterdam, NY 12010-7550
Phone
(518) 843-4522
Fax
(518) 843-8306
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 163421 NY Primary

Addresses

Primary practice location

119 Holland Circle Dr
Amsterdam, NY 12010-7550

Mailing address

119 Holland Circle Dr
Amsterdam, NY 12010-7550
Phone (518) 843-4522

Other identifiers 1

IdentifierTypeStateIssuer
01086433MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000117 NY Practitioner - Family Practice 2860492873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carondelet Regional Medical PCGroup PAC ID 0840554051, 16 clinicians

Practice addresses (Care Compare)

119 Holland Circle Dr
Unit C
Amsterdam, NY 12010-7550
Phone (518) 843-6914

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions36
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Carondelet Regional Medical, PC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Carondelet Regional Medical, PC Family Medicine Past Accepting new patients

Locations

119 Holland Circle Dr
Amsterdam, NY 12010
Phone (518) 843-4522

119 Holland Circle Dr
Unit C
Amsterdam, NY 12010
Phone (518) 843-6914

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

Interoperability endpoints

  • Direct secure messaging: gweis@amstfp.medentdirect.com
  • Direct secure messaging: georgeweisdo@synergytherapeutic.medentdirect.com

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1457352999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HOLLAND CIRCLE DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107550",
            "telephone_number": "518-843-4522",
            "fax_number": "518-843-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HOLLAND CIRCLE DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107550",
            "telephone_number": "518-843-4522",
            "fax_number": "518-843-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIS",
        "first_name": "GEORGE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "163421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01086433",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.