Weiss Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WEISS PEDIATRICS PLLC

Practice address

2082 Mesquite Ave
Suite a-102
Lake Havasu City, AZ 86403-6710

Phone

(928) 680-1264

Fax

(982) 680-1265

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Prabha Swamy Weiss, MDNPI 1528201472

Title

Physician/Owner

Phone

(928) 680-1264

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prabha Swamy Weiss, M.D.

  • Pediatrics Physician
  • Santa Rosa Beach, FL
  • NPI 1528201472
  NPD (past) Authorized official

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1669729851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11123",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154002",
            "telephone_number": "617-402-1000",
            "fax_number": "617-402-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 MESQUITE AVE",
            "address_2": "SUITE A-102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036710",
            "telephone_number": "928-680-1264",
            "fax_number": "982-680-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "PRABHA",
        "authorized_official_middle_name": "SWAMY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "928-680-1264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Walters, RN
• Kelli M Ward, D.O.
• Shannon Ward, LPN
• David Carling Watts, D.O
• Kaitlyn Weber, RN
• Paige Weisz, APRN
• Alyssa Wells
• Welltower Tenant Group LLC (Lake View Terrace Memory CAre)
• Thomas Wennergren, PHARMD
• Lindsey Werbiskis

• Pediatrics Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.