Ira William Weiss, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036052292 Issued in IL

Practice address

2650 Ridge Ave RM G234
Evanston Hospital Cardiac Graphics Dept
Evanston, IL 60201-1718

Phone

(847) 570-2065

Fax

(847) 570-2937

NPI assigned

Dec 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1548245335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1858",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602041858",
            "telephone_number": "847-570-2065",
            "fax_number": "847-570-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE RM G234",
            "address_2": "EVANSTON HOSPITAL CARDIAC GRAPHICS DEPT",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-2065",
            "fax_number": "847-570-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "IRA",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036052292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052292",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Weiss & Associates PLLC
• Bradley Alan Weiss, DDS
• Charles Weiss, LPC
• Cheryl Paler Weiss, LCPC
• Gloria A. Weiss, L.C.S.W.
• James A Weiss, LCSW
• Richard J Weiss, DPM
• Scott M Weissman, M.S., C.G.C.
• Mona Sue Weissmark, PHD
• Jennifer G Weldon, APN-CNP

• Cardiovascular Disease Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.