Active NPI
Jill F Weiss, PA-C
- Physician Assistant
- Mayfield Heights, OH
National Provider Identifier
1801926928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.003073
- Practice address
- 6780 Mayfield Rd
Mayfield Heights, OH 44124-2203 - Phone
- (440) 312-3845
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.003073 | OH | Primary |
Addresses
Primary practice location
6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Mailing address
2428 Cedarwood Rd
Pepper Pike, OH 44124-4239
Phone (314) 740-8634
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.003073 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1801926928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2428 CEDARWOOD RD",
"city": "PEPPER PIKE",
"state": "OH",
"postal_code": "441244239",
"telephone_number": "314-740-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6780 MAYFIELD RD",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441242203",
"telephone_number": "440-312-3845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "JILL",
"middle_name": "F",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.003073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.