Theodore Patrick Weis, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

C34090 Issued in CA

Practice address

225 Clyde Dr
Walnut Creek, CA 94598-3447

Phone

(925) 279-2226

Fax

(925) 279-2228

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Theodore Patrick Weis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Gunnell, M.D., Inc

  • Nephrology Physician
  • Napa, CA
  • NPI 1255376398

  Nephrology

  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1679526313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CLYDE DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983447",
            "telephone_number": "925-279-2226",
            "fax_number": "925-279-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CLYDE DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983447",
            "telephone_number": "925-279-2226",
            "fax_number": "925-279-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIS",
        "first_name": "THEODORE",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C34090",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C34090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEODORE",
            "last_name": "WEIS",
            "middle_name": "PATRICK",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lawrence Weil, M.D
• Scott Weinberg, O.D.
• Robert J. Weingarten, MD
• Richard L Weinstein, M.D.
• Stephen Gerald Weinstein, MD
• Debra Weiss Ishai, MD
• Emanuel Jack Weiss, PSYD
• Michael Weiss, MD
• Michelle Weiss
• Samantha Lauren Weiss, LCSW

• All providers in Walnut Creek, CA
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.