Stephen P Weiss

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STEPHEN P WEISS

Practice address

4137 Montgomery Blvd NE
(Granada Square)
Albuquerque, NM 87109-6741

Phone

(505) 872-2611

Fax

(505) 872-8304

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen P Weiss, M.DNPI 1649344532

Title

Medical Doctor

Phone

(505) 872-2611

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Stephen Philip Weiss, M.D.

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1649344532
  NPD (past) Authorized official
• Tieraona Low Dog, MD

  • General Practice Physician
  • Santa Fe, NM
  • NPI 1457583049
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1679755805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 MONTGOMERY BLVD NE",
            "address_2": "(GRANADA SQUARE)",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096741",
            "telephone_number": "505-872-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 MONTGOMERY BLVD NE",
            "address_2": "(GRANADA SQUARE)",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096741",
            "telephone_number": "505-872-2611",
            "fax_number": "505-872-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN P WEISS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "505-872-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Parks DPM LLC
• Stephanie Porter
• Stephanie Smith Counseling and Consultation
• Stephen a. Wagner DDS,PC
• Stephen Legate DC, LLC
• Camille Stephens
• Kelly Stephens, BSN RN
• Sarah Stephens, LISW
• Hector Ricardo Stephenson, P.A.
• Jennifer Stephenson, CNP

• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.