Eric Andrew Weiss, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0062500 Issued in FL

Practice address

421 Kingsley Ave
BLDG 200
Orange Park, FL 32073-4897

Phone

(904) 215-5800

Fax

(904) 215-1211

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700961018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 KINGSLEY AVE",
            "address_2": "BLDG 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734897",
            "telephone_number": "904-215-5800",
            "fax_number": "904-215-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 KINGSLEY AVE",
            "address_2": "BLDG 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734897",
            "telephone_number": "904-215-5800",
            "fax_number": "904-215-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ERIC",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0062500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wecare Group
• Martin Paul Wegman, MD,PHD
• Daniel Aaron Weinberg, MD
• Rebecca Anne Weir, PTA
• Allen M Weiss, MPT,ATC/L
• Danny Wayne Weldon, P.T.
• Jennifer Petron Weldon, LCSW
• Justin C Weldon, MSPT
• Evan P Welfare, DC
• Wells Road Pharmacy LLC (Wells Road Pharmacy)

• Specialist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Specialist in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.