Active NPI
Ian Allan Weissman, D.O.
- Diagnostic Radiology Physician
- Milwaukee, WI
National Provider Identifier
1659339240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 47301
- Practice address
- 2925 W Oklahoma Ave
Milwaukee, WI 53215-4329 - Phone
- (414) 649-6430
- Fax
- (414) 649-5563
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 47301 | WI | Primary |
Addresses
Primary practice location
2925 W Oklahoma Ave
Milwaukee, WI 53215-4329
Mailing address
1660 N Prospect Ave
#2207
Milwaukee, WI 53202-2400
Phone (414) 289-7662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43517500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tualatin Imaging P C | Diagnostic Radiology | Past | Accepting new patients |
| Medical Diagnostic Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Ascension Medical Group-Southeast Wisconsin Inc | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of the Fox Valley, SC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Greenfield, WI
- NPI 1427165331
-
- Diagnostic Radiology Physician
- Neenah, WI
- NPI 1477539443
-
- Diagnostic Radiology Physician
- Tualatin, OR
- NPI 1295807055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659339240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 N PROSPECT AVE",
"address_2": "#2207",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022400",
"telephone_number": "414-289-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154329",
"telephone_number": "414-649-6430",
"fax_number": "414-649-5563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSMAN",
"first_name": "IAN",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "47301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43517500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.