Individual provider Active NPI

Galen A Weiss, M.D.

  • Orthopaedic Surgery Physician
  • Campbellsville, KY
National Provider Identifier
1619969631
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
28849 Issued in KY
Practice address
1698 Old Lebanon Rd
Suite 3a
Campbellsville, KY 42718-9662
Phone
(270) 465-0632
Fax
(270) 789-6119
NPI assigned
Aug 16, 2005
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036117981 IL
Orthopaedic Surgery Physician 207X00000X 28849 KY Primary

Addresses

Primary practice location

1698 Old Lebanon Rd
Suite 3a
Campbellsville, KY 42718-9662

Mailing address

1698 Old Lebanon Rd
Suite 3a
Campbellsville, KY 42718-9662
Phone (270) 465-0632

Other identifiers 1

IdentifierTypeStateIssuer
64288491MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000115 KY Practitioner - Orthopedic Surgery 5395792287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 N Loretto Rd
Suite 600
Lebanon, KY 40033-1634
Phone (270) 692-5139

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036117981ILMDSpecialist
28849KYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group LLC CurrentSince Dec 1, 2010 Accepting new patients
Spring View Physician Practices, LLC Orthopaedic Surgery CurrentSince Nov 1, 2022 Accepting new patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Spring View Physician Practices LLC CurrentSince Nov 1, 2022 Accepting new patients
Taylor Regional Medical Group, LLC CurrentSince Dec 1, 2010 Accepting new patients
Weiss Orthopedic and Injury Center, LLC Current Accepting new patients
Katherine D. Carias, M.D., Inc Specialist PastSince Apr 25, 2011 Accepting new patients
David J Jenkinson MD Orthopaedic Surgery Past Accepting new patients
Granite City Orthopedic Physicians Company LLC Orthopaedic Surgery Past Accepting new patients
Orthopaedic Associates of Charleston, PA Orthopaedic Surgery Past Accepting new patients

Locations

100 Medical Park Dr
Ste B
Campbellsville, KY 42718
Phone (270) 465-0632

111 Wellpark Ln
Ste 1
Campbellsville, KY 42718
Phone (270) 692-3161

1698 Old Lebanon Rd
Ste 3A
Campbellsville, KY 42718
Phone (270) 465-0632

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1878 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-7505

420 N Loretto Rd
Ste 200
Lebanon, KY 40033
Phone (270) 321-4480

420 N Loretto Rd
Ste 600
Lebanon, KY 40033
Phone (270) 692-5139

Interoperability endpoints

  • Direct secure messaging: galen.weiss.1@30070.direct.athenahealth.com

Organizations & group practices 10

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 2

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1619969631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 OLD LEBANON RD",
            "address_2": "SUITE 3A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189662",
            "telephone_number": "270-465-0632",
            "fax_number": "270-789-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 OLD LEBANON RD",
            "address_2": "SUITE 3A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189662",
            "telephone_number": "270-465-0632",
            "fax_number": "270-789-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "GALEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036117981",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "28849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64288491",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.